Mia C Nepomuceno Perez
Medical Specialty
Professional ID
- NPI: 1073533519
- PECOS ID: 3577637206
- Enrollment ID: I20080729000762
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 1992
Hospital Service
- Hospital CCN1: 050327
- Business Name (LBN)1: Loma Linda University Medical Center
Medical Practices
- Organization Name: Faculty Physicians And Surgeons Of Llusm
- Group Practice ID assigned by PECOS: 1153227814
- Number of Group Practice member: 884
Location
Location
Location
- Address1: 26780 Barton Rd
- Address2:
- City: Redlands
- State: California
- Zip Code: 92373
- Phone Number: (909)558-5174
Location
- Address1: 901 San Bernardino Rd
- Address2: Suite 104and302
- City: Upland
- State: California
- Zip Code: 91786
- Phone Number: (909)558-4000
Medical Practices
- Organization Name: Loma Linda University Pathology Medical Group, Inc
- Group Practice ID assigned by PECOS: 1355234972
- Number of Group Practice member: 13
Location
- Address1: 11370 Anderson St
- Address2: Suite 2960
- City: Loma Linda
- State: California
- Zip Code: 92354
- Phone Number: (909)558-6374
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):