Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | A86208 | CA |
NPI | 1144245267 |
---|---|
Provider Name | Monica Perez |
First Address | San Diego, CA 92102-4541 |
Second Address | San Diego, CA 92113-2113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 01/12/2021 |