Individual
PETER FRANCIS GIACOBAZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18372 CLARK ST STE 204, TARZANA, CA 91356-3554
(818) 342-4541
(818) 342-2403
Mailing address
18372 CLARK STREET #204, TARZANA, CA 91356
(818) 342-4541
(818) 342-2403
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G18175
CA
Other
Enumeration date
10/27/2006
Last updated
08/24/2011
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