Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NX0800X | Chiropractor Orthopedic Specialist | DC19567 | CA |
NPI | 1134301716 |
---|---|
Provider Name | Frank J Perez |
First Address | Fullerton, CA 92835-3800 |
Second Address | Fullerton, CA 92835-3800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2007 |
Last Update Date | 10/11/2021 |