Individual
DR. PERRY MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3590 CAMINO DEL RIO N 100, SAN DIEGO, CA 92108-1716
(619) 810-1000
Mailing address
3590 CAMINO DEL RIO N 100, SAN DIEGO, CA 92108-1716
(619) 810-1111
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A47905
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A479050
—
CA
Enumeration date
07/06/2006
Last updated
06/28/2022
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