Organization
EARL PETRUS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARL PETRUS M.D. (PRESIDENT)
(310) 820-7197
Entity
Organization
Contact information
Practice address
21000 PLUMMER ST, CHATSWORTH, CA 91311-4903
(818) 882-6400
(818) 882-6404
Mailing address
PO BOX 64487, LOS ANGELES, CA 90064-0487
(310) 820-7197
(310) 478-1876
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A197500
—
CA
Enumeration date
09/06/2007
Last updated
07/23/2010
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