NPIMap

Organization Active NPI

Pearl Group Medical Professional Corporation

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Los Angeles, CA
National Provider Identifier
1811051485
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
License
W20501 Issued in CA
Legal business name
PEARL GROUP MEDICAL PROFESSIONAL CORPORATION
Practice address
11860 Wilshire Blvd
100
Los Angeles, CA 90025-6613
Phone
(310) 312-1111
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alice Meyler, M.D.
Title
President
Phone
31031211111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P2900X W20501 CA Primary

Addresses

Primary practice location

11860 Wilshire Blvd
100
Los Angeles, CA 90025-6613

Mailing address

11860 Wilshire Blvd
100
Los Angeles, CA 90025-6613
Phone (310) 312-1111

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1811051485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11860 WILSHIRE BLVD",
            "address_2": "100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256613",
            "telephone_number": "310-312-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11860 WILSHIRE BLVD",
            "address_2": "100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256613",
            "telephone_number": "310-312-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL GROUP MEDICAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "MEYLER",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "31031211111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "CA",
            "license": "W20501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.