Organization
JON PERLSTEIN, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON PERLSTEIN MD (PRESIDENT)
(707) 321-8991
Entity
Organization
Contact information
Practice address
2 MEDICAL PLAZA DR STE 275, ROSEVILLE, CA 95661-3051
(916) 462-8410
Mailing address
243 BERRYWOOD CT, VACAVILLE, CA 95688-1041
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0102X
Surgical Critical Care Physician
—
—
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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