Organization
PETER COLAPRETE MD A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER COLAPRETE MD (MD/PRESIDENT)
(619) 740-4160
Entity
Organization
Contact information
Practice address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
(619) 740-4160
Mailing address
PO BOX 389, RANCHO SANTA FE, CA 92067-0389
(619) 740-4160
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
A41396
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083892459
MEDICARE NPI
CA
05
—
1083892459
—
CA
01
—
W22437
MEDICARE PTAN
CA
Enumeration date
02/07/2008
Last updated
11/18/2019
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