1255538278 NPI number — HENRY PEREZ DDS APC

Table of content: MORGAN BANKER MS, RD, LDN (NPI 1578122206)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255538278 NPI number — HENRY PEREZ DDS APC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HENRY PEREZ DDS APC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255538278
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2001 SOLAR DR
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
OXNARD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93036-2645
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-983-6768
Provider Business Mailing Address Fax Number:
805-983-2129

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2001 SOLAR DR
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
OXNARD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93036-2645
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-983-6768
Provider Business Practice Location Address Fax Number:
805-983-2129
Provider Enumeration Date:
07/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PEREZ
Authorized Official First Name:
HENRY
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
805-983-6768

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  31355 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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