Provider Demographics
NPI:1871149484
Name:PEREZ, DANIEL LLAMAS
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:LLAMAS
Last Name:PEREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:756 BEDFORD DR
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-1206
Mailing Address - Country:US
Mailing Address - Phone:831-295-1256
Mailing Address - Fax:
Practice Address - Street 1:2293 H DELA ROSA SR ST
Practice Address - Street 2:
Practice Address - City:SOLEDAD
Practice Address - State:CA
Practice Address - Zip Code:93960-3382
Practice Address - Country:US
Practice Address - Phone:831-678-5110
Practice Address - Fax:831-678-5105
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-11
Last Update Date:2019-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA649833336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy