Pegram, Patricia Dianne

Pegram, Patricia Dianne is an sole proprietor health care provider with primary practice located at 2003 Caddington Dr , Rancho Palos Verdes CA 90275-2012. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Pegram, Patricia Dianne can be contacted via phone (310) 514-2969.

Contact Information

Primary practice address
2003 Caddington Dr Rancho Palos Verdes CA 90275-2012
Phone: (310) 514-2969
Fax: (310) 514-2995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19007 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C37718 California

Profile Details

NPI number 1942574314
LBN Legal business name Pegram, Patricia Dianne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2012
Last updated Mar 2nd, 2012 - about 14 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.

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