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	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center
2	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1912548066
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	:	858-864-9800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1905 CALLE BARCELONA STE 211
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92009-8452
Country	:	US
Telephone Number	:	858-799-0933
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	MONICA PERLMAN
Credential	:	MD
Telephone Number	:	858-554-1212

Provider Enumeration Date	:	09/30/2019
Last Update Date	:	09/30/2019

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