Petersen, David James

Petersen, David James is an individual health care provider with primary practice located at 24191 Paseo De Valencia Suite E, Laguna Woods CA 92637-3167. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Petersen, David James can be contacted via phone (949) 855-1177.

Contact Information

Primary practice address
24191 Paseo De Valencia Suite E Laguna Woods CA 92637-3167
Phone: (949) 855-1177
Fax: (949) 855-6939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E4310 California

Profile Details

NPI number 1942250808
LBN Legal business name Petersen, David James
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Apr 11th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942250808 NPPES
California Other DE7237 RAILROAD MEDI-CARE PIN

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