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Next Update: Thursday, December 19, 2024 2:50 AM CST
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LI-PERDOMO, RENALDO
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This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
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| Practice Address: |
110 WEST PLYMOUTH STREET
LONG BEACH CA 90805
Address last updated on 6/24/2013 |
| Phone #: |
(562) 505-4595 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
12691 |
| Dated: |
7/1/1980 |
| Expires: |
7/1/2013 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine
General Practice |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico |
| Graduated: |
6 /
1977 |
| CME Year: |
2015 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
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| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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