MEDICARE: MONICA PERLMAN MD INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician
3	261QU0200X	Urgent Care Clinic/Center
4	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1518837848
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONICA PERLMAN MD INC.

Provider Business Mailing Address
First Line	:	9850 GENESEE AVE STE 320
Second Line	:
City	:	LA JOLLA
State	:	CA
Zip	:	92037-1208
Country	:	US
Telephone Number	:	858-554-1212
Fax Number	:	858-795-1195

Provider Business Practice Location Address
First Line	:	3820 CONVOY ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-3722
Country	:	US
Telephone Number	:	858-766-5373
Fax Number	:	858-795-1195

Authorized Official
Title or Position	:	CREDENTIALING ASSISTANT
Name	:	MADISON DAVIS
Credential	:
Telephone Number	:	442-325-8753

Provider Enumeration Date	:	11/11/2025
Last Update Date	:	11/11/2025

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