Individual
PETER NALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2901 SILLECT AVE, SUITE 100, BAKERSFIELD, CA 93308-6370
(661) 323-8384
(661) 864-1279
Mailing address
PO BOX 9085, BAKERSFIELD, CA 93389-9085
(661) 323-8384
(661) 323-9326
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G47900
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
G47900
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G479001
INDIVIDUAL PTAN
CA
01
—
060012148
RAILROAD MEDICARE
CA
01
—
953511288
TAX ID
CA
Enumeration date
11/01/2007
Last updated
10/29/2009
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