Organization
TODD W. PETERS MD, INC. A MEDICAL CORPORATION
Active
Organization
TODD W. PETERS MD, INC. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD W. PETERS MD (PRESIDENT)
(949) 383-4182
Entity
Organization
Contact information
Practice address
15785 LAGUNA CANYON RD STE 125, IRVINE, CA 92618-3140
(949) 383-4182
(949) 383-4183
Mailing address
15785 LAGUNA CANYON RD STE 125, IRVINE, CA 92618-3140
(949) 383-4182
(949) 383-4183
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G88762
CA
Other
Enumeration date
01/25/2013
Last updated
11/13/2019
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