Provider Demographics
NPI:1295855195
Name:PERHAM, ARMIN P (MD)
Entity Type:Individual
Prefix:DR
First Name:ARMIN
Middle Name:P
Last Name:PERHAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ARMIN
Other - Middle Name:
Other - Last Name:POORDABBAGH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:206 4TH ST
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-3247
Mailing Address - Country:US
Mailing Address - Phone:760-815-3048
Mailing Address - Fax:
Practice Address - Street 1:206 4TH ST
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-3247
Practice Address - Country:US
Practice Address - Phone:760-815-3048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY240605207P00000X
CAA101066207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine