Organization
PETER JAHANGIR PARKER, MD, INC.
Active
Other names
Peter J Parker MD
Organization subpart
No
Provider details
NPI number
Authorized official
SELINA RODRIGUEZ MA (CREDENTIALING)
(818) 546-2626
Entity
Organization
Contact information
Practice address
1106 W GLENOAKS BLVD, GLENDALE, CA 91202-2606
(818) 546-2626
(818) 546-1056
Mailing address
P.O. BOX 5108, GLENDALE, CA 91221-2108
(818) 546-2626
(818) 546-1056
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A44924
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AW872B
—
CA
05
—
W17807B
—
CA
Enumeration date
05/04/2007
Last updated
05/17/2022
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