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Amalia G De Perez

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

757 Westwood Plz, Los Angeles, CA 90095-8358

PECOS Enrollment

This provider is enrolled in PECOS as AMALIA PEREZ.

Based on the most recent information from CMS, provider Amalia G De Perez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:47 AM.

Profile Details

Provider ID
1558738435
Provider Type
Individual
Full Name
De Perez, Amalia G
Credential
NP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/27/2015
Last Updated
12/10/2025

Contact Information

Practice Location

757 Westwood Plz, Los Angeles, CA 90095-8358

(310) 825-6301

(310) 825-7473

Mailing Location

5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

(310) 301-5200

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 95001212 California
Code 282N00000X	Description General Acute Care Hospital Hospitals	License 95001212 California
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 95001212 California

Amalia G De Perez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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