Individual
JEFFREY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2911 E CORONADO ST, ANAHEIM, CA 92806
(714) 688-4855
Mailing address
21015 PATHFINDER RD, DIAMOND BAR, CA 91765-4018
(909) 468-2300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G69213
CA
Other
Enumeration date
01/25/2007
Last updated
04/10/2019
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