Individual
DR. SHERRI PEACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8930 S SEPULVEDA BLVD, SUITE 104, LOS ANGELES, CA 90045-3606
(310) 645-6001
(310) 645-5919
Mailing address
8930 S SEPULVEDA BLVD, SUITE 104, LOS ANGELES, CA 90045-3606
(310) 645-6001
(310) 645-5919
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G72196
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G721960
BLUE SHIELD PROVIDER #
CA
05
—
00G721960
—
CA
01
—
05D0966774
CLIA #
CA
01
—
G72196
BLUE CROSS PROVIDER #
CA
Enumeration date
01/30/2007
Last updated
01/27/2025
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