Individual
DR. MICHAEL JEFFREY PERELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3998 VISTA WAY, SUITE C204, OCEANSIDE, CA 92056-4500
(760) 726-2500
(760) 726-3276
Mailing address
3998 VISTA WAY, SUITE C204, OCEANSIDE, CA 92056-4500
(760) 726-2500
(760) 726-3279
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01043476A
IN
208600000X
Surgery Physician
—
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
01043476A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000497683
ANTHEM PROVIDER NUMBER
IN
Enumeration date
09/19/2005
Last updated
04/18/2008
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