Individual
PETER J PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 W GLENOAKS BLVD, GLENDALE, CA 91202-2606
(818) 546-2626
(818) 546-1056
Mailing address
PO BOX 5108, GLENDALE, CA 91221-2108
(310) 276-2400
(310) 276-4634
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
A44924
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A449240
—
CA
Enumeration date
07/17/2006
Last updated
05/06/2022
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