Perla Park
Medical Specialty
Professional ID
- NPI: 1518973122
- PECOS ID: 9133388317
- Enrollment ID: I20120307000446
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 1975
Hospital Service
- Hospital CCN1: 050107
- Business Name (LBN)1: Marian Regional Medical Center
Medical Practices
- Organization Name: Community Health Centers Of The Central Coast, Inc.
- Group Practice ID assigned by PECOS: 7416868120
- Number of Group Practice member: 38
Location
- Address1: 210 S Palisade Dr
- Address2:
- City: Santa Maria
- State: California
- Zip Code: 93545
- Phone Number: (805)929-3211
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):