Individual
DAVID JOHN PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14600 SHERMAN WAY, SUITE 300, VAN NUYS, CA 91405
(818) 781-7097
(818) 904-0531
Mailing address
68 708 AVENIDA DIOSA, CATHEDRAL CITY, CA 92234
(818) 781-7097
(818) 904-0531
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G60655
CA
Other
Enumeration date
11/28/2006
Last updated
01/09/2014
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