Provider Demographics
NPI:1649584285
Name:MICHAEL J PERLEY MD INC
Entity Type:Organization
Organization Name:MICHAEL J PERLEY MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JEROME
Authorized Official - Last Name:PERLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-634-9802
Mailing Address - Street 1:3650 SOUTH ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90712-1502
Mailing Address - Country:US
Mailing Address - Phone:562-634-9802
Mailing Address - Fax:562-634-9830
Practice Address - Street 1:3650 SOUTH ST
Practice Address - Street 2:SUITE 208
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712-1502
Practice Address - Country:US
Practice Address - Phone:562-634-9802
Practice Address - Fax:562-634-9830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty