# SHERRI PEACE, MD, INC

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

## Provider details

- **NPI number:** 1407043680
- **Authorized official:** DR. SHERRI PEACE MD (PRESIDENT/MEDICAL DIRECTOR)
- **Authorized official phone:** (310) 645-6001

## Contact information

- **Practice address:** 8930 S SEPULVEDA BLVD, SUITE 104, LOS ANGELES, CA 90045-3606
- **Practice address phone:** (310) 645-6001
- **Practice address fax:** (310) 645-5919
- **Mailing address:** 8930 S SEPULVEDA BLVD, SUITE 104, LOS ANGELES, CA 90045-3606
- **Mailing address phone:** (310) 645-6001
- **Mailing address fax:** (310) 645-5919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | G72196 | CA | Yes |

## Other

- **Enumeration date:** 10/01/2007
- **Last updated:** 02/29/2008
