Organization · NPI-2

A W Perry Jr M D A Medical Corporation

Plastic Surgery · Glendale, CA

NPI number1639438633
StatusActive
Last updated in NPPESMay 10, 2012

Details

NPI
1639438633
Entity type
Organization (NPI-2)
Legal business name
A W Perry Jr M D A Medical Corporation
Organization subpart
No
Enumeration date
May 10, 2012
Last updated
May 10, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208200000X Plastic SurgeryG43094CAYes

Practice location

1808 Verdugo Blvd
Suite 118
Glendale, CA 91208-1477

Phone 818-790-0385 · Fax 818-790-4153

Mailing address

1808 Verdugo Blvd
Suite 118
Glendale, CA 91208-1477

Phone 818-790-0385 · Fax 818-790-4153

Authorized official

Allan W Perry
President
8187900385

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