Individual provider · Type 1 NPI

Thomas Peterson, MD

Specialist · Lynwood, CA

NPI number 1972671972 Active

Practice location

3628 E Imperial Hwy, Suite #300
Lynwood, CA 90262-2609

Call (310) 900-8490 Map

Fax (310) 635-0738

Mailing address

17525 Ventura Blvd, Suite 203
Encino, CA 91316-5109

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 1972671972

Thomas Peterson, MD's National Provider Identifier is 1972671972, issued on Nov 30, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lynwood, CA. The record was last updated on Oct 29, 2014.