Petersen, Diane Yvonne
Petersen, Diane Yvonne is an individual health care provider with primary practice located at 3565 Del Amo Blvd 3Rd Floor, Torrance CA 90503-1637. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Petersen, Diane Yvonne can be contacted via phone (310) 214-0811.Contact Information
Primary practice address
3565 Del Amo Blvd 3Rd Floor
Torrance CA 90503-1637
Phone: (310) 214-0811
Fax: (310) 793-0754
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | G54758 | California |
Profile Details
| NPI number | 1992734420 |
|---|---|
| LBN Legal business name | Petersen, Diane Yvonne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Nov 5th, 2012 - about 13 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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