Doctor profile · Federal record
Dr. Mark Perrault, M.D.
Psychiatry Physician · Culver City, CA
- NPI 1649506643
- 17 yrs on file
- Male
- Solo practice
- Sanctions on record
Practice & contact
- Primary practice
-
11111 Jefferson Blvd, 5005
Culver City, CA 902306903
(323) 736-0977
fax (310) 733-1835 - Mailing address
-
3940 Olmsted Ave
Los Angeles, CA 900082626
Credentials & registration
- NPI registered
- October 2009 — 17 yrs on file
- Profile last updated
- January 11, 2022
- Specialty taxonomy
- 2084P0800X — NUCC code
- State license (1)
- California #A43550
Federal sanctions & exclusions
1 exclusion record on file
Always verify with the official OIG LEIE.- 1128b14 — excluded Jul 20, 2017 / reinstated Nov 30, -0001
Open Payments
Industry payments received
All-time total
$107
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ethicon US, LLC | 1 | $106.85 |
By nature of payment
Frequently asked questions
What is Dr. Mark Perrault's medical specialty?
Dr. Mark Perrault practices Psychiatry Physician in Culver City, CA.
Where does Dr. Mark Perrault practice?
Dr. Mark Perrault practices at 11111 Jefferson Blvd, Culver City, CA 902306903. Office phone: 3237360977.
What is Dr. Mark Perrault's NPI?
Dr. Mark Perrault's National Provider Identifier (NPI) is 1649506643, issued by NPPES.