Individual
DR. ALAN RAYMOND PETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4080 LOMA VISTA ROAD, SUITE J, VENTURA, CA 93003-1811
(805) 658-6744
(805) 658-7231
Mailing address
4080 LOMA VISTA ROAD, SUITE J, VENTURA, CA 93003-1811
(805) 658-6744
(805) 658-7231
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G28070
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G2807000
—
CA
01
—
953144247
TAX ID
CA
01
—
G28070
MEDICAL LICENSE
CA
Enumeration date
06/22/2005
Last updated
01/25/2012
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