Individual
GARY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
31515 RANCHO PUEBLO RD STE 201, TEMECULA, CA 92592-4837
(951) 302-1302
(760) 239-6893
Mailing address
PO BOX 2123, VALLEY CENTER, CA 92082-2123
(760) 571-7015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 16479
CA
Other
Enumeration date
11/06/2006
Last updated
02/25/2026
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