Healthcare Provider Details

I. General information

NPI: 1235746322
Provider Name (Legal Business Name): PERL ROBAIRE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2020
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N ALAMEDA ST
LOS ANGELES CA
90012-1804
US

IV. Provider business mailing address

15000 MOORPARK ST APT 5
SHERMAN OAKS CA
91403-2429
US

V. Phone/Fax

Practice location:
  • Phone: 213-804-3139
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: