Petersen, David A
Petersen, David A is an individual health care provider with primary practice located at 4910 Directors Pl Ste 350 , San Diego CA 92121-3834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Petersen, David A can be contacted via phone (844) 484-4267.Contact Information
Primary practice address
4910 Directors Pl Ste 350
San Diego CA 92121-3834
Phone: (844) 484-4267
Fax: (949) 381-5687
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME54499 | Florida |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | G130506 | California |
Profile Details
| NPI number | 1750363149 |
|---|---|
| LBN Legal business name | Petersen, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 19th, 2005 |
| Last updated | Aug 12th, 2025 - about last year |
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 | 1750363149 | NPPES |
| Florida | MEDICAID | 037919100 |
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