Doctor Name: | JANEL KEELING PEREZ |
NPI Number: | 1063414019 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 7504 |
Business Practice Address: | 16111 Plummer St Bldg 20, Rm 118c Mc122 North Hills, CA - 913432036 |
Business Phone Number: | 8188917711 |
Business Fax Number: | 8188959339 |
Mailing Address: | 16111 Plummer St, Bldg 20, Rm 118c Mc122 NORTH HILLS |
State: | CA |
Postal Code: | 913432036 |
Phone Number: | 8188917711 |
Fax Number: | 8188959339 |
NPI Enumeration Date: | 06/02/2005 |
NPI Last Update Date: | 06/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 7504 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |