Provider Demographics
NPI:1548320450
Name:PERELMAN, RONALD B (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:B
Last Name:PERELMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:18531 ROSCOE BLVD
Mailing Address - Street 2:SUITE # 202
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-4641
Mailing Address - Country:US
Mailing Address - Phone:818-998-8400
Mailing Address - Fax:818-998-8404
Practice Address - Street 1:18531 ROSCOE BLVD
Practice Address - Street 2:SUITE # 202
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-4641
Practice Address - Country:US
Practice Address - Phone:818-998-8400
Practice Address - Fax:818-998-8404
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2011-10-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC32643207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery