Individual
JOSEPH CARTER PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3510 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262-2010
(310) 638-9391
(310) 603-8749
Mailing address
3510 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262-2010
(310) 638-9391
(310) 603-8749
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G30203
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G302030
—
CA
01
—
G30203
STATE LIC NUMBER
CA
Enumeration date
08/20/2006
Last updated
10/29/2007
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