Individual
DR. KEVIN JEFFREY PELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 E. CESAR CHAVEZ AVE., SUITE 2200, LOS ANGELES, CA 90033-2476
(323) 264-7600
(323) 261-8027
Mailing address
1700 E. CESAR CHAVEZ AVE., SUITE 2200, LOS ANGELES, CA 90033-2476
(323) 264-7600
(323) 261-8027
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A80695
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679771703
ORG NPI
CA
01
—
A80695
STATE LICENSE
CA
Enumeration date
11/15/2006
Last updated
05/04/2011
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