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Organization
NEIVEEN PETER MEDICAL CORPORATION
Active
Organization
NEIVEEN PETER MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIVEEN PETER MD (PROVIDER)
(818) 416-3337
Entity
Organization
Contact information
Practice address
1100 E BROADWAY STE 301, GLENDALE, CA 91205-1380
(818) 416-3337
Mailing address
1121 AVONOAK TER, GLENDALE, CA 91206-1513
(818) 416-3337
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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