Simic, Peter John

Simic, Peter John is an individual health care provider with primary practice located at 501 S Buena Vista St , Burbank CA 91505-4809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Simic, Peter John can be contacted via phone (818) 843-5111.

Contact Information

Primary practice address
501 S Buena Vista St Burbank CA 91505-4809
Phone: (818) 843-5111
Fax: (405) 751-3183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G78807 California

Profile Details

NPI number 1366498552
LBN Legal business name Simic, Peter John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Sep 20th, 2012 - about 12 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 1366498552 NPPES
California Other 00G788070 BLUE SHIELD
California Other G78807 BLUE SHIELD
California Other 00G504290 BLUE SHIELD
California MEDICAID 00G788070 BLUE SHIELD
California Other G50429 BLUE SHIELD

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