# PETER JOSON M.D. INC

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

## Provider details

- **NPI number:** 1295999647
- **Authorized official:** DR. PETER J JOSON M.D. (PRESIDENT)
- **Authorized official phone:** (949) 489-2218

## Contact information

- **Practice address:** 653 CAMINO DE LOS MARES, SUITE 107, SAN CLEMENTE, CA 92673-2808
- **Practice address phone:** (949) 489-2218
- **Practice address fax:** (949) 496-3604
- **Mailing address:** 653 CAMINO DE LOS MARES, SUITE 107, SAN CLEMENTE, CA 92673-2808
- **Mailing address phone:** (949) 489-2218
- **Mailing address fax:** (949) 496-3604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A83538 | CA | Yes |

## Other

- **Enumeration date:** 07/15/2008
- **Last updated:** 08/24/2012