Individual
DR. DAVID JAMES PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
24191 PASEO DE VALENCIA, SUITE E, LAGUNA WOODS, CA 92637-3167
(949) 855-1177
(949) 855-6939
Mailing address
24191 PASEO DE VALENCIA, SUITE E, LAGUNA WOODS, CA 92637-3167
(949) 855-1177
(949) 855-6939
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4310
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE7237
RAILROAD MEDI-CARE PIN
CA
Enumeration date
05/11/2006
Last updated
04/11/2008
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