Healthcare Provider Details

I. General information

NPI: 1699298752
Provider Name (Legal Business Name): ISAAC PERLOFF DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2017
Last Update Date: 09/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 15TH ST STE 36A
SAN FRANCISCO CA
94103-5032
US

IV. Provider business mailing address

PO BOX 410473
SAN FRANCISCO CA
94141-0473
US

V. Phone/Fax

Practice location:
  • Phone: 415-833-2020
  • Fax:
Mailing address:
  • Phone: 818-850-0183
  • Fax: 888-246-1403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number293534
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: