Kennedy, Peter Samuel
Kennedy, Peter Samuel is an sole proprietor health care provider with primary practice located at 201 S Alvarado St Suite 110, Los Angeles CA 90057-2320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Kennedy, Peter Samuel can be contacted via phone (213) 484-6474.Contact Information
Primary practice address
201 S Alvarado St Suite 110
Los Angeles CA 90057-2320
Phone: (213) 484-6474
Fax: (213) 484-8470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | C38037 | California |
Profile Details
| NPI number | 1104882810 |
|---|---|
| LBN Legal business name | Kennedy, Peter Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2006 |
| Last updated | May 6th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104882810 | NPPES |
| California | MEDICAID | 00380370 |
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