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NPI Code Detail

MEDICARE: MICHAEL L. PEARL MD

MEDICARE: MICHAEL L. PEARL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1204D00000XNeuromusculoskeletal Medicine & OMM PhysicianG58210CA
2207X00000XOrthopaedic Surgery PhysicianG58210CA

General Provider Information

NPI Number : 1588731319
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL L. PEARL MD
Provider Business Mailing Address
First Line : 4140 W 190TH ST
Second Line :
City : TORRANCE
State : CA
Zip : 90504-5513
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 444 S SAN VICENTE BLVD STE 603
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-4178
Country : US
Telephone Number : 310-423-4566
Fax Number : 310-423-9478
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 05/08/2024

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