Healthcare Provider Details

I. General information

NPI: 1801083902
Provider Name (Legal Business Name): BARRY J. PEARLMAN, M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2007
Last Update Date: 03/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N ROBERTSON BLVD 204
BEVERLY HILLS CA
90211-2142
US

IV. Provider business mailing address

150 N ROBERTSON BLVD 204
BEVERLY HILLS CA
90211-2142
US

V. Phone/Fax

Practice location:
  • Phone: 310-279-4644
  • Fax: 310-659-4300
Mailing address:
  • Phone: 310-279-4644
  • Fax: 310-659-4300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberG23387
License Number StateCA

VIII. Authorized Official

Name: BARRY J PEARLMAN
Title or Position: OWNER
Credential: M.D.
Phone: 310-279-4644