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Individual

FRASER LYMAN PERKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3330 LOMITA BLVD, TORRANCE, CA 90505-5002
(310) 325-9110
(310) 784-8762
Mailing address
225 S LAKE AVE, 535, PASADENA, CA 91101-3005
(626) 795-6596
(626) 795-8247

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G29871
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G298710
BLUE SHIELD
CA
05
00G298710
CA
Enumeration date
07/19/2006
Last updated
07/08/2007
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