Healthcare Provider Details

I. General information

NPI: 1114952496
Provider Name (Legal Business Name): AARON PERLMUTTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 12/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8641 WILSHIRE BLVD SUITE 100
BEVERLY HILLS CA
90211-2900
US

IV. Provider business mailing address

PO BOX 7009
BEVERLY HILLS CA
90212-7009
US

V. Phone/Fax

Practice location:
  • Phone: 310-657-0367
  • Fax: 310-860-1130
Mailing address:
  • Phone: 310-657-0367
  • Fax: 310-860-1130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberA70055
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: