Joseph Peterson, MD | |
11234 Anderson St, Loma Linda, CA 92354-2804 | |
(909) 558-2600 | |
Not Available |
Full Name | Joseph Peterson |
---|---|
Gender | Male |
Speciality | Otolaryngology - Pediatric Otolaryngology |
Location | 11234 Anderson St, Loma Linda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467800276 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YP0228X | Otolaryngology - Pediatric Otolaryngology | 287217 (Massachusetts) | Primary |
Entity Name | Beaver Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449 |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
Entity Name | Sac Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013935923 PECOS PAC ID: 4385533579 Enrollment ID: O20040315000608 |
Mailing Address | Practice Location Address |
---|---|
Joseph Peterson, MD 11234 Anderson St, Loma Linda, CA 92354-2804 Ph: (201) 663-2965 | Joseph Peterson, MD 11234 Anderson St, Loma Linda, CA 92354-2804 Ph: (909) 558-2600 |
John Y Kim, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Suite 2100, Loma Linda, CA 92354 Phone: 909-558-2822 | |
Vikrum Thimmappa, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4000 | |
Khanh K Nguyen, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8558 | |
Max Feng, Otolaryngology Medicare: Medicare Enrolled Practice Location: Loma Linda University Health Otolaryngology, 11234 Anderson Street, Loma Linda, CA 92354 Phone: 909-558-2600 | |
Liyang Tang, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 11370 Anderson St, Loma Linda, CA 92354 Phone: 909-558-2822 | |
Roy Wang Qu, Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-2600 | |
Dr. Justin Daniel Mclarty, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Cp 21005, Loma Linda, CA 92354 Phone: 909-558-8131 Fax: 909-558-0430 |