Individual
DR. DIANE YVONNE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3565 DEL AMO BLVD, 3RD FLOOR, TORRANCE, CA 90503-1637
(310) 214-0811
(310) 793-0754
Mailing address
3565 DEL AMO BLVD, 3RD FLOOR, TORRANCE, CA 90503-1637
(310) 214-0811
(310) 793-0754
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G54758
CA
Other
Enumeration date
06/30/2006
Last updated
11/05/2012
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