Individual
DR. JOEL NICHOLAS PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MERCY CIRCLE, OCEANSIDE, CA 92055
(760) 719-3312
Mailing address
NAVAL HOSPITAL CAMP PENDLETON, 200 MERCY CIRCLE, OCEANSIDE, CA 92055
(760) 719-3312
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C151654
CA
2084P0804X
Child & Adolescent Psychiatry Physician
C151654
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16130
MEDICAL LICENSE
NH
01
—
C151654
MEDICAL LICENSE
CA
Enumeration date
09/09/2005
Last updated
07/21/2023
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