| A Randolph Pearlstein Md A Medical Corporation | |
|
9400 Brighton Way Suite# 201 Beverly Hills CA 90210-4712 | |
| (310) 271-6229 | |
| (310) 271-9137 |
| Full Name | A Randolph Pearlstein Md A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 9400 Brighton Way, Beverly Hills, California |
| Authorized Official Name and Position | Alec Randolph Pearlstein (PRESIDENT) |
| Authorized Official Contact | 3102716229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Randolph Pearlstein Md A Medical Corporation 9400 Brighton Way Suite# 201 Beverly Hills CA 90210-4712 Ph: (310) 271-6229 | A Randolph Pearlstein Md A Medical Corporation 9400 Brighton Way Suite# 201 Beverly Hills CA 90210-4712 Ph: (310) 271-6229 |
| NPI Number | 1063600443 |
|---|---|
| Provider Enumeration Date | 10/10/2007 |
| Last Update Date | 04/22/2020 |
| Medicare PECOS PAC ID | 4688823412 |
|---|---|
| Medicare Enrollment ID | O20121011000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063600443 | NPI | - | NPPES |
| 00G273080 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Alec R Pearlstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134268501 PECOS PAC ID: 8123211307 Enrollment ID: I20101020000631 |
| Provider Name | Alec R Pearlstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134268501 PECOS PAC ID: 8123211307 Enrollment ID: I20140728002641 |
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