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Samuel R Peterson, MD
Dermatology Physician in Newport Beach, California
NPI 1073571295

Samuel R Peterson is a Dermatology Physician based in Ladera Ranch, CA. Samuel R Peterson practices in Newport Beach, CA and has the professional credentials of MD. The NPI Number for Samuel R Peterson is 1073571295 and holds a License No. 52631431205 (California).

The current practice location address for Samuel R Peterson is 360 San Miguel Dr Ste 309, Newport Beach, CA and can be reached out via phone at 949-640-0434.

Location: 360 San Miguel Dr Ste 309, Newport Beach, CA, 92694-2107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073571295
Provider Name
Samuel R Peterson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
360 San Miguel Dr Ste 309, Newport Beach, CA, 92694-2107
Phone Number
949-640-0434
Fax Number
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
107017630101 01 UT IHC HEALTHPLANS
QM0000066345 01 UT ALTIUS
P00066498 01 UT PALMETTO GBA
03.00174 01 UT UNITED HEALTHCARE
72756 01 UT PEHP
796725 01 UT DMBA
870281028000 05 UT
institution
Provider Business Practice Location Address Details
Address
360 San Miguel Dr Ste 309
City
Newport Beach
State
California
Zip
92660-7829
Phone Number
949-640-0434
Fax Number
person
Provider Business Mailing Address Details
Address
360 San Miguel Dr Ste 309
City
Newport Beach
State
California
Zip
92660-7829
Phone Number
949-640-0434
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
-
Taxonomy
207N00000X
License No.
52631431205 (Utah)
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
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