Perry, Clarence D.
Perry, Clarence D. is an individual health care provider with primary practice located at Ucsd Medical Center 200 West Arbor Drive, Mc 8201, San Diego CA 92103-8201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Perry, Clarence D. can be contacted via phone (858) 966-5832.Contact Information
Primary practice address
Ucsd Medical Center 200 West Arbor Drive, Mc 8201
San Diego CA 92103-8201
Phone: (858) 966-5832
Fax: (619) 543-3183
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G75092 | California |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | G75092 | California |
Profile Details
NPI number | 1790731586 |
---|---|
LBN Legal business name | Perry, Clarence D. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 25th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790731586 | NPPES |
California | MEDICAID | 00G750920 |
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