person
Mr. Thomas Peterson, MD
Specialist in Lynwood, California
NPI 1972671972

Thomas Peterson is a Specialist based in Encino, CA. Thomas Peterson practices in Lynwood, CA and has the professional credentials of MD. The NPI Number for Thomas Peterson is 1972671972 and holds a License No. A26295 (California).

The current practice location address for Thomas Peterson is 3628 E Imperial Hwy, Lynwood, CA and can be reached out via phone at 310-900-8490 and via fax at 310-635-0738.

Location: 3628 E Imperial Hwy, Lynwood, CA, 91316-5109
person
Provider Profile Details
NPI Number
1972671972
Provider Name
Thomas Peterson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3628 E Imperial Hwy, Lynwood, CA, 91316-5109
Phone Number
310-900-8490
Fax Number
310-635-0738
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00A262950 05 CA
institution
Provider Business Practice Location Address Details
Address
3628 E Imperial Hwy
City
State
Zip
90262-2609
Phone Number
310-900-8490
Fax Number
310-635-0738
person
Provider Business Mailing Address Details
Address
3628 E Imperial Hwy
City
State
Zip
90262-2609
Phone Number
310-900-8490
Fax Number
310-635-0738
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
A26295 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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