Basic Information
Provider Information
NPI: 1497975262
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PEREZ-AOKI
FirstName: LAURA
MiddleName: FRANCES
NamePrefix: MRS.
NameSuffix:  
Credential: NURSE PRACTITIONER
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9920 TALBERT AVE
Address2:  
City: FOUNTAIN VALLEY
State: CA
PostalCode: 927085153
CountryCode: US
TelephoneNumber: 7143787428
FaxNumber: 7143787474
Practice Location
Address1: 9920 TALBERT AVE
Address2:  
City: FOUNTAIN VALLEY
State: CA
PostalCode: 927085153
CountryCode: US
TelephoneNumber: 7143787428
FaxNumber: 7143787474
Other Information
ProviderEnumerationDate: 04/26/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100XNP 12692CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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