Individual
PETER BRIAN ANDERSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18370 BURBANK BLVD, 107, TARZANA, CA 91356-2813
(818) 996-3880
(818) 996-1679
Mailing address
18370 BURBANK BLVD, 107, TARZANA, CA 91356-2813
(818) 996-3880
(818) 996-1679
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A52853
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A528530
—
CA
Enumeration date
07/13/2006
Last updated
04/20/2009
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