Organization · Type 2 NPI

T K Peterson MD

Specialist · Lynwood, CA

NPI number 1548526320 Active

Practice location

3617 Mlk Boulevard Suite 1
Lynwood, CA 90262

Fax (310) 635-0738

Mailing address

3617 Mlk Blvd
Lynwood, CA 90262

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA26295 (CA)

Specialist: 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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About NPI 1548526320

T K Peterson MD's National Provider Identifier is 1548526320, issued on Apr 6, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lynwood, CA. The record was last updated on Apr 6, 2012.