Organization
E PETER ANZALDO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
E PETER ANZALDO MD (OWNER)
(714) 997-7140
Entity
Organization
Contact information
Practice address
1310 W STEWART DR STE 403, ORANGE, CA 92868-3855
(714) 997-7140
(714) 639-0920
Mailing address
1310 W STEWART DR STE 403, ORANGE, CA 92868-3855
(714) 997-7140
(714) 639-0920
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
G36638
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G366380
—
CA
Enumeration date
03/28/2018
Last updated
03/28/2018
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