Individual
DR. PETER L KOPELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
414 N CAMDEN DR, SUITE 640, BEVERLY HILLS, CA 90210-4532
(310) 271-7400
(310) 271-0003
Mailing address
414 N CAMDEN DR, SUITE 640, BEVERLY HILLS, CA 90210-4532
(310) 271-7400
(310) 271-0003
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G70622
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W18106
GROUP ID
CA
Enumeration date
10/14/2005
Last updated
08/20/2014
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