Individual provider · Type 1 NPI

David John Petersen, MD

General Practice Physician · Van Nuys, CA

NPI number 1508932906 Active

Practice location

14600 Sherman Way, Suite 300
Van Nuys, CA 91405

Call (818) 781-7097 Map

Fax (818) 904-0531

Mailing address

68 708 Avenida Diosa
Cathedral City, CA 92234

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XG60655 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1508932906

David John Petersen, MD's National Provider Identifier is 1508932906, issued on Nov 28, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Van Nuys, CA. The record was last updated on Jan 9, 2014.