Healthcare Provider Details

I. General information

NPI: 1457438822
Provider Name (Legal Business Name): RICHARD D PERLMAN MD MPH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 09/22/2017
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 SUITE 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: 858-715-1230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License NumberG11577
License Number StateCA

VIII. Authorized Official

Name: DR. RICHARD D PERLMAN
Title or Position: OWNER
Credential: MD MPH FACS
Phone: 858-715-9200