Individual
DR. PETER DESIDER VASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
2080 CENTURY PARK EAST, SUITE 1511, LOS ANGELES, CA 90067
(310) 553-0804
(310) 553-9459
Mailing address
2080 CENTURY PARK EAST, SUITE 1511, LOS ANGELES, CA 90067
(310) 553-0804
(310) 553-9459
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
625397
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
625397
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0559285
CLIA
CA
Enumeration date
11/08/2006
Last updated
03/07/2023
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