# PETER P. KOENIG, M.D., INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063462521
- **Authorized official:** DR. PETER P KOENIG M.D. (5 PERCET OR MORE OWNERSHIP INTEREST)
- **Authorized official phone:** (818) 528-1222

## Contact information

- **Practice address:** 4940 VAN NUYS BLVD., SUITE 200, SHERMAN OAKS, CA 91403-1741
- **Practice address phone:** (818) 528-1222
- **Practice address fax:** (828) 528-1225
- **Mailing address:** 4940 VAN NUYS BLVD., SUITE 200, SHERMAN OAKS, CA 91403-1741
- **Mailing address phone:** (818) 528-1222
- **Mailing address fax:** (828) 528-1225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | A23943 | CA | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | A23943 | CA | Yes |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 01/11/2011