Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | G41589 | CA |
N | 2080P0214X | Pediatric Pulmonologist | G41589 | CA |
NPI | 1699779181 |
---|---|
Provider Name | Dr. William G. Perkins |
First Address | Long Beach, CA 90814-1934 |
Second Address | Fountain Valley, CA 92708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2005 |
Last Update Date | 02/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A92270 | (02) | CA |