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Organization
PETER ANDERSON MD MEDICAL CORPORATION
Active
Organization
PETER ANDERSON MD MEDICAL CORPORATION
Active
Other names
Emergency Physicians Fountain Valley Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
PETER G ANDERSON MD (PRESIDENT)
(562) 809-3572
Entity
Organization
Contact information
Practice address
17100 EUCLID ST, FOUNTAIN VALLEY, CA 92708-4004
(714) 966-7200
Mailing address
PO BOX 51726, LOS ANGELES, CA 90051-6026
(562) 809-3572
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0046600
—
CA
Enumeration date
06/12/2006
Last updated
01/30/2015
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