Individual
DR. PETER P. KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4940 VAN NUYS BLVD., SUITE 200, SHERMAN OAKS, CA 91403-1741
(818) 528-1222
(818) 528-1225
Mailing address
4940 VAN NUYS BLVD., SUITE 200, SHERMAN OAKS, CA 91403-1741
(818) 528-1222
(818) 528-1225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A23943
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A23943
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316997877
NPI
CA
Enumeration date
05/12/2006
Last updated
01/12/2011
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