Provider Demographics
NPI:1073815767
Name:MA, PEARL (MD)
Entity Type:Individual
Prefix:DR
First Name:PEARL
Middle Name:
Last Name:MA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:205 E RIVER PARK CIR
Mailing Address - Street 2:#460
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-1571
Mailing Address - Country:US
Mailing Address - Phone:559-261-4500
Mailing Address - Fax:559-261-4501
Practice Address - Street 1:205 E RIVER PARK CIR
Practice Address - Street 2:#460
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-1571
Practice Address - Country:US
Practice Address - Phone:559-261-4500
Practice Address - Fax:559-261-4501
Is Sole Proprietor?:No
Enumeration Date:2010-12-01
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA118162208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery