Organization
PETER FOLDVARY MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER FOLDVARY MD (PRESIDENT)
(310) 271-3390
Entity
Organization
Contact information
Practice address
3715 E SOUTH ST, LONG BEACH, CA 90805-4521
(310) 271-3390
Mailing address
PO BOX 16580, BEVERLY HILLS, CA 90209-2580
(310) 271-3390
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G32026
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G320261
—
CA
01
—
ZZZ25745Z
BLUE SHIELD PROV NUMBER
CA
Enumeration date
07/19/2005
Last updated
08/23/2023
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