Peterson, Karin S

Peterson, Karin S is an individual health care provider with primary practice located at 8110 Birmingham Way Bldg 28, San Diego CA 92123-2758. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Peterson, Karin S can be contacted via phone (858) 966-5961.

Contact Information

Primary practice address
8110 Birmingham Way Bldg 28 San Diego CA 92123-2758
Fax: (858) 966-6791
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X A52621 California

Profile Details

NPI number 1780651828
LBN Legal business name Peterson, Karin S
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Sep 19th, 2011 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780651828 NPPES
California MEDICAID 00A526210

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