Individual
DR. PETER ANTHONY QUIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 STEIN PLZ FL 1, LOS ANGELES, CA 90095-2613
(310) 825-5000
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A64488
CA
207WX0109X
Neuro-ophthalmology Physician
A64488
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A644880
BLUE SHIELD
CA
05
—
00A644880
—
CA
01
—
180040554
MEDICARE RAILROAD
CA
01
—
W11993
MEDICARE GROUP# LA OFFICE
CA
01
—
W11993A
MEDICARE GRP# ORANGE OFF
CA
01
—
ZZZ51610Z
MEDICARE GRP# PALM SPRING
CA
Enumeration date
12/11/2006
Last updated
01/30/2025
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