Individual
DAVID J PERKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24411 HEALTH CENTER DR, SUITE 680, LAGUNA HILLS, CA 92653-3651
(949) 268-4568
(949) 455-2795
Mailing address
17360 BROOKHURST ST, ATTN: MCMF - CREDENTIALING DEPARTMENT, FOUNTAIN VALLEY, CA 92708-3720
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
22773
NV
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
C38668
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C386680
—
CA
01
—
C38668
LICENSE
CA
Enumeration date
07/13/2006
Last updated
11/15/2022
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