Perrella, Rita Rosalie

Perrella, Rita Rosalie is an sole proprietor health care provider with primary practice located at 2121 Wilshire Blvd #303, Santa Monica CA 90403. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Perrella, Rita Rosalie can be contacted via phone (310) 613-5505.

Contact Information

Primary practice address
2121 Wilshire Blvd #303 Santa Monica CA 90403
Phone: (310) 613-5505
Fax: (310) 828-8162
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G52811 California

Profile Details

NPI number 1942282934
LBN Legal business name Perrella, Rita Rosalie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2005
Last updated Apr 18th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942282934 NPPES
California MEDICAID 00G528111

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