Individual
PETER SCHAAFF WADHAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3616 E 1ST ST, LOS ANGELES, CA 90063-2326
(323) 264-6157
Mailing address
3616 E 1ST ST, LOS ANGELES, CA 90063-2326
(323) 264-6157
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E3793
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3793
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E37930
—
CA
Enumeration date
01/21/2006
Last updated
12/11/2007
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