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PEARL GROUP MEDICAL PROFESSIONAL CORPORATION NPI 1811051485


NPI Information

NPI: 1811051485
Provider Name: PEARL GROUP MEDICAL PROFESSIONAL CORPORATION
Classification: Psychiatry & Neurology - 2084P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
11860 WILSHIRE BLVD
100
LOS ANGELES, CA
ZIP 90025
Phone: (310) 312-1111
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PEARL GROUP MEDICAL PROFESSIONAL CORPORATION is a pain medicine psychiatry neurology in Los Angeles, CA. The provider is a neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. PEARL GROUP MEDICAL PROFESSIONAL CORPORATION NPI is 1811051485. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11860 WILSHIRE BLVD
100
LOS ANGELES, CA
ZIP 90025-613
Phone: (310) 312-1111

The provider's authorized official is Alice Meyler .
The authorized official title is President and has the following contact phone number 31031211111.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 2/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P2900XPsychiatry & NeurologyPain MedicineW20501CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W20501MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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