Provider Demographics
NPI:1801066063
Name:PERKIN, HUGH BRANDON (MD)
Entity type:Individual
Prefix:DR
First Name:HUGH
Middle Name:BRANDON
Last Name:PERKIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3599 SUELDO ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-7386
Mailing Address - Country:US
Mailing Address - Phone:805-786-2500
Mailing Address - Fax:805-781-0423
Practice Address - Street 1:1310 LAS TABLAS RD
Practice Address - Street 2:SUITE 201
Practice Address - City:TEMPLETON
Practice Address - State:CA
Practice Address - Zip Code:93465-9737
Practice Address - Country:US
Practice Address - Phone:805-786-2500
Practice Address - Fax:805-781-0423
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-04
Last Update Date:2015-04-22
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Provider Licenses
StateLicense IDTaxonomies
CAA98268208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW7179Medicare UPIN