Organization
PERRY MANSFIELD, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERRY MANSFIELD M.D. (CHIEF)
(619) 884-8049
Entity
Organization
Contact information
Practice address
3590 CAMINO DEL RIO N STE 100, SAN DIEGO, CA 92108-1707
(619) 884-8049
Mailing address
6645 ALVARADO RD # 4000, SAN DIEGO, CA 92120-5208
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
01/03/2007
Last updated
06/28/2022
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