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Individual

DR. ELISE S PERER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
18350 ROSCOE BLVD, SUITE 701, NORTHRIDGE, CA 91325-4109
(818) 885-9400
(818) 885-9403
Mailing address
18350 ROSCOE BLVD, SUITE 701, NORTHRIDGE, CA 91325-4109
(818) 885-9400
(818) 885-9403

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A77355
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A77355
LICENSE
CA
Enumeration date
07/27/2006
Last updated
12/07/2007
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