Petersen, Sandra Rose

Petersen, Sandra Rose is an individual health care provider with primary practice located at 4060 4Th Ave Suite 610, San Diego CA 92103-2116. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Petersen, Sandra Rose can be contacted via phone (619) 497-2430.

Contact Information

Primary practice address
4060 4Th Ave Suite 610 San Diego CA 92103-2116
Phone: (619) 497-2430
Fax: (619) 299-1723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G051961 California

Profile Details

NPI number 1295795672
LBN Legal business name Petersen, Sandra Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jul 8th, 2007 - about 17 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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