Provider Demographics
NPI:1689743338
Name:PERLMUTTER, JONA A (MD)
Entity type:Individual
Prefix:DR
First Name:JONA
Middle Name:A
Last Name:PERLMUTTER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9911 W PICO BLVD
Mailing Address - Street 2:SUITE 1280
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035
Mailing Address - Country:US
Mailing Address - Phone:310-277-4208
Mailing Address - Fax:310-277-7012
Practice Address - Street 1:9911 W PICO BLVD
Practice Address - Street 2:SUITE 1280
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035
Practice Address - Country:US
Practice Address - Phone:310-277-4208
Practice Address - Fax:310-277-7012
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA196802084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
A82095Medicare UPIN