Individual
DR. GLENN HOWARD PERELSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
740 BAY BLVD, CHULA VISTA, CA 91910-5254
(619) 498-6423
Mailing address
PO BOX 606, SPRING VALLEY, CA 91976-0606
(619) 460-3109
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G63071
CA
Other
Enumeration date
05/23/2005
Last updated
07/08/2007
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