Mark Jonifer De Peralta Martinez
Mark Jonifer De Peralta Martinez is a Pharmacist in Culver City, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
3515 Helms AveCulver City, CA 90232-2414
Phone: (310) 559-5903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 82408 (CA) |
|---|
Record details
| NPI number | 1952904567 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 17, 2020 |
| Last updated in NPPES | December 31, 2021 |
| Certification date | December 31, 2021 |
| Mailing address | 15540 Moorpark St., Los Angeles, CA 91436 |
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