person
Dr. David James Petersen, DPM
Foot & Ankle Surgery Podiatrist in Laguna Woods, California
NPI 1942250808

David James Petersen is a Foot & Ankle Surgery Podiatrist based in Laguna Woods, CA and is specialized in Foot & Ankle Surgery. David James Petersen practices in Laguna Woods, CA and has the professional credentials of DPM. The NPI Number for David James Petersen is 1942250808 and holds a License No. E4310 (California).

The current practice location address for David James Petersen is 24191 Paseo De Valencia, Laguna Woods, CA and can be reached out via phone at 949-855-1177 and via fax at 949-855-6939.

Location: 24191 Paseo De Valencia, Laguna Woods, CA, 92637-3167
person
Provider Profile Details
NPI Number
1942250808
Provider Name
David James Petersen
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
24191 Paseo De Valencia, Laguna Woods, CA, 92637-3167
Phone Number
949-855-1177
Fax Number
949-855-6939
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DE7237 01 CA RAILROAD MEDI-CARE PIN
institution
Provider Business Practice Location Address Details
Address
24191 Paseo De Valencia
City
State
Zip
92637-3167
Phone Number
949-855-1177
Fax Number
949-855-6939
person
Provider Business Mailing Address Details
Address
24191 Paseo De Valencia
City
State
Zip
92637-3167
Phone Number
949-855-1177
Fax Number
949-855-6939
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E4310 (California)
Definition
Definition to come...
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