Individual
JEFF PEARLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2070 CENTURY PARK E, LOS ANGELES, CA 90067-1907
(310) 772-4100
(818) 587-2493
Mailing address
PO BOX 661297, ARCADIA, CA 91066-1297
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C40719
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C407190
BLUE SHIELD
CA
05
—
00C407190
—
CA
01
—
930101498
RAILROAD MEDICARE
CA
Enumeration date
06/05/2006
Last updated
08/05/2008
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