Provider Demographics
NPI:1346235157
Name:PERLOW, REBECCA L (DO)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:L
Last Name:PERLOW
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:5525 ETIWANDA AVE SUITE 209
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-6117
Mailing Address - Country:US
Mailing Address - Phone:818-344-8822
Mailing Address - Fax:818-344-3587
Practice Address - Street 1:5525 ETIWANDA AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-3647
Practice Address - Country:US
Practice Address - Phone:818-344-8822
Practice Address - Fax:818-344-3587
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-19
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A6634207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG47750Medicare UPIN