Provider Demographics
NPI:1457438822
Name:RICHARD D PERLMAN MD MPH INC
Entity Type:Organization
Organization Name:RICHARD D PERLMAN MD MPH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:PERLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD MPH FACS
Authorized Official - Phone:858-715-9200
Mailing Address - Street 1:8008 FROST ST
Mailing Address - Street 2:SUITE 403
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4205
Mailing Address - Country:US
Mailing Address - Phone:858-715-9200
Mailing Address - Fax:858-715-1230
Practice Address - Street 1:8008 FROST ST
Practice Address - Street 2:SUITE 403
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4205
Practice Address - Country:US
Practice Address - Phone:858-715-9200
Practice Address - Fax:858-715-9202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2017-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG115772086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G115770Medicaid
CA00G115770Medicaid
CA1263360001Medicare NSC
CAW21206Medicare PIN