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NPI Code Detail

MEDICARE: JEFF PEARLMAN

MEDICARE: JEFF PEARLMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianC40719CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1930101498OTHERCARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
200C407190OTHERCABLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134168289
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFF PEARLMAN
Provider Business Mailing Address
First Line : PO BOX 661297
Second Line :
City : ARCADIA
State : CA
Zip : 91066-1297
Country : US
Telephone Number : 626-447-0296
Fax Number : 626-447-6057
Provider Business Practice Location Address
First Line : 2070 CENTURY PARK E
Second Line :
City : LOS ANGELES
State : CA
Zip : 90067-1907
Country : US
Telephone Number : 310-772-4100
Fax Number : 818-587-2493
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 08/05/2008

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Directions to “ JEFF PEARLMAN ” Practice Location

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