Provider Demographics
NPI:1891914222
Name:PERRY-HUNTER, PAMELA DIANE (MD)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:DIANE
Last Name:PERRY-HUNTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1452 26TH ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-3084
Mailing Address - Country:US
Mailing Address - Phone:310-582-2290
Mailing Address - Fax:310-582-2293
Practice Address - Street 1:1452 26TH ST
Practice Address - Street 2:SUITE 104
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-3084
Practice Address - Country:US
Practice Address - Phone:310-582-2290
Practice Address - Fax:310-582-2293
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA344742084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry