Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | DC17786 | CA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | DC17786 | CA |
NPI | 1598771719 |
---|---|
Provider Name | Margaret E. Perez |
First Address | Tarzana, CA 91356-3505 |
Second Address | Tarzana, CA 91356-3505 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
DC17786 | (02) | CA |
T18610 | I REALLY HAVE NO IDEA (01) | CA |