Healthcare Provider Details

I. General information

NPI: 1013915941
Provider Name (Legal Business Name): RICHARD D PERLMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 07/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8008 FROST ST SUITE 403
SAN DIEGO CA
92123-4205
US

IV. Provider business mailing address

8008 FROST ST STE 403
SAN DIEGO CA
92123-4205
US

V. Phone/Fax

Practice location:
  • Phone: 858-715-9200
  • Fax: 858-715-9202
Mailing address:
  • Phone: 858-715-9200
  • Fax: 858-715-9202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberG11577
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: