Organization
JEFFREY PEAK MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY PEAK MD (PRESIDENT)
(818) 550-0900
Entity
Organization
Contact information
Practice address
4929 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-1702
(818) 550-0900
(303) 953-8260
Mailing address
PO BOX 5486, ORANGE, CA 92863-5486
(818) 550-0900
(303) 953-8260
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G78221
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G782210
BLUE SHIELD
CA
05
—
00G782210
—
CA
Enumeration date
05/03/2007
Last updated
04/12/2017
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