Organization
KEVIN J. PELTON MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN JEFFREY PELTON MD (DIRECTOR)
(323) 264-7600
Entity
Organization
Contact information
Practice address
1700 E CESAR E CHAVEZ AVE, SUITE 2200, LOS ANGELES, CA 90033-2424
(323) 264-7600
(323) 261-8027
Mailing address
1700 E CESAR E CHAVEZ AVE, SUITE 2200, LOS ANGELES, CA 90033-2424
(323) 264-7600
(323) 261-8027
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033282637
IND NPI
CA
Enumeration date
07/10/2007
Last updated
05/08/2024
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