Provider Demographics
NPI:1033104823
Name:PERLOW, DENNIS L (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:L
Last Name:PERLOW
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:5525 ETIWANDA AVE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-3647
Mailing Address - Country:US
Mailing Address - Phone:818-344-8822
Mailing Address - Fax:818-344-3587
Practice Address - Street 1:5525 ETIWANDA AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-3647
Practice Address - Country:US
Practice Address - Phone:818-344-8822
Practice Address - Fax:818-344-3587
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-16
Last Update Date:2010-04-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA21097207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA22455Medicare UPIN