Organization Name: | PERLOW MEDICAL CORP |
NPI Number: | 1073857413 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REBECCA LEE PERLOW (VICE PRESIDENT) |
Mailing Address: | 5525 Etiwanda Ave Suite #209 Tarzana |
State: | CA US |
Postal Code: | 913563647 |
Phone Number: | 8183448822 |
Fax Number: | 8183443587 |
NPI Enumeration Date: | 11/26/2012 |
NPI Last Update Date: | 11/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | 20A6634 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |