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Individual

DR. JAMES L PEARLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 THE CITY DR S BLDG 30, ORANGE, CA 92868-3201
(714) 456-7720
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G27073
CA
207RP1001X
Pulmonary Disease Physician
Primary
G27073
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
290003318
RAILROAD MEDICARE
CA
01
G27073
STATE MEDICAL LICENSE
CA
01
GR0014371
MEDICAL GRP NUMBER
CA
01
ZZZ97067Z
BLUE SHIELD
CA
Enumeration date
11/02/2006
Last updated
04/25/2023
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