Individual
PHILIP FAI PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1200 N STATE ST, SUITE A7D, CLINIC TOWER, LOS ANGELES, CA 90033-1029
(626) 991-8927
Mailing address
1200 N STATE ST, SUITE A7D, CLINIC TOWER, LOS ANGELES, CA 90033-1029
(626) 991-8927
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
189962
CA
Other
Enumeration date
03/27/2020
Last updated
11/07/2025
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