Individual
ANGELA G PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
(323) 857-2000
Mailing address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
(323) 857-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12646
CA
Other
Enumeration date
12/08/2006
Last updated
12/01/2021
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