| Dr Jonathan E Perley, MD | |
|
3650 South St, #408, Lakewood, CA 90712-1502 | |
| (562) 630-0423 | |
| (562) 630-0660 |
| Full Name | Dr Jonathan E Perley |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 31 Years |
| Location | 3650 South St, Lakewood, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326017831 | NPI | - | NPPES |
| A76527 | Other | CA | CALIFORNIA MEDICAL LICENS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | A76527 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary Medical Center | Long beach, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Greater Long Beach Genito-urinary Med Grp | 0143258723 | 3 |
| Entity Name | County Of Los Angeles |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
| Entity Name | Greater Long Beach Genito-urinary Med Grp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417976705 PECOS PAC ID: 0143258723 Enrollment ID: O20050803001227 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan E Perley, MD 3650 South St, #408, Lakewood, CA 90712-1502 Ph: (562) 630-0423 | Dr Jonathan E Perley, MD 3650 South St, #408, Lakewood, CA 90712-1502 Ph: (562) 630-0423 |
Nand S Datta, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 5750 Downey Avenue, Suite #100, Lakewood, CA 90712 Phone: 562-630-5870 Fax: 562-496-3595 | |
Dr. Jules M Perley, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3650 South St, Suite 408, Lakewood, CA 90712 Phone: 562-630-0423 Fax: 562-630-0660 |