Peterson, Kenneth P
Peterson, Kenneth P is an sole proprietor health care provider with primary practice located at 15910 Ventura Blvd Suite 1502, Encino CA 91436-2802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Peterson, Kenneth P can be contacted via phone (818) 728-9877.Contact Information
Primary practice address
15910 Ventura Blvd Suite 1502
Encino CA 91436-2802
Phone: (818) 728-9877
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | C50553 | California |
Profile Details
| NPI number | 1144287707 |
|---|---|
| LBN Legal business name | Peterson, Kenneth P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Apr 1st, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144287707 | NPPES |
| California | Other | G50553 | STATE LICENSE NUMBER |
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