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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | A26295 (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.