Organization
PEARL GROUP MEDICAL PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE MEYLER M.D. (MEDICAL DIRECTOR)
(310) 312-1111
Entity
Organization
Contact information
Practice address
10625 PALM DR, DESERT HOT SPRINGS, CA 92240-2534
(310) 312-1111
(310) 312-1139
Mailing address
11860 WILSHIRE BLVD, STE 100, LOS ANGELES, CA 90025-6613
(310) 312-1111
(310) 312-1139
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
CI961B
CA
Other
Enumeration date
10/22/2009
Last updated
12/09/2009
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