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NPI Code Detail

MEDICARE: MONICA PERLMAN MD INC.

MEDICARE: MONICA PERLMAN MD INC.
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
1207Q00000XFamily Medicine Physician544547CA
2207R00000XInternal Medicine Physician544547CA
3261QP2300XPrimary Care Clinic/Center544547CA
4261QU0200XUrgent Care Clinic/Center544547CA

General Provider Information

NPI Number : 1679966881
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONICA PERLMAN MD INC.
Provider Business Mailing Address
First Line : 9850 GENESEE AVE STE 320
Second Line :
City : LA JOLLA
State : CA
Zip : 92037-1208
Country : US
Telephone Number : 858-554-1212
Fax Number : 858-554-1222
Provider Business Practice Location Address
First Line : 3737 MORAGA AVE
Second Line : SUITE B-103
City : SAN DIEGO
State : CA
Zip : 92117-5352
Country : US
Telephone Number : 858-799-0855
Fax Number :
Authorized Official
Title or Position : CEO
Name : MITCHELL PERLMAN
Credential :
Telephone Number : 858-554-1212
Provider Enumeration Date : 03/12/2015
Last Update Date : 09/30/2019

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