Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | G11577 | CA |
NPI | 1013915941 |
---|---|
Provider Name | Dr. Richard D Perlman |
First Address | San Diego, CA 92123-4205 |
Second Address | San Diego, CA 92123-4205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 10/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G115770 | (05) | CA |
A38387 | (02) |