Healthcare Provider Details

I. General information

NPI: 1619344181
Provider Name (Legal Business Name): AARON PERLMUTTER MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2015
Last Update Date: 08/31/2015
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

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

V. Phone/Fax

Practice location:
  • Phone: 310-657-0367
  • Fax: 310-887-4796
Mailing address:
  • Phone: 310-657-0367
  • Fax: 310-887-4796

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: AARON PERLMUTTER
Title or Position: PRESIDENT
Credential: MD
Phone: 131-065-0367