Individual
PETER LOSEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C. PED
Contact information
Practice address
1622 WEBSTER ST, ALAMEDA, CA 94501-2134
(510) 523-4316
Mailing address
1622 WEBSTER ST, ALAMEDA, CA 94501-2134
(510) 523-4316
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
3265
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02996F
—
CA
Enumeration date
05/27/2006
Last updated
08/27/2020
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