Individual
PETER KOETTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15107 VANOWEN ST, VAN NUYS, CA 91405-4542
(818) 902-5771
Mailing address
272 EL NIDO AVE, PASADENA, CA 91107-4453
(626) 795-9235
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A86407
CA
Other
Enumeration date
06/24/2006
Last updated
07/08/2007
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