Healthcare Provider Details

I. General information

NPI: 1548511025
Provider Name (Legal Business Name): DAVID ALLAN PERLMAN PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2012
Last Update Date: 02/11/2021
Certification Date: 02/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12304 SANTA MONICA BLVD STE 108
LOS ANGELES CA
90025-2586
US

IV. Provider business mailing address

1120 PINE STREET
SANTA MONICA CA
90405
US

V. Phone/Fax

Practice location:
  • Phone: 310-429-5619
  • Fax:
Mailing address:
  • Phone: 440-935-0171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number31768
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: