Organization
PEARL GROUP MEDICAL PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE MEYLER M.D. (PRESIDENT)
31031211111
Entity
Organization
Contact information
Practice address
11860 WILSHIRE BLVD, 100, LOS ANGELES, CA 90025-6613
(310) 312-1111
Mailing address
11860 WILSHIRE BLVD, 100, LOS ANGELES, CA 90025-6613
(310) 312-1111
Taxonomy
Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
W20501
CA
Other
Enumeration date
12/20/2006
Last updated
02/06/2008
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