Earl Petrus Md Inc | |
21000 Plummer St Chatsworth CA 91311-4903 | |
(818) 882-6400 | |
(818) 882-6404 |
Full Name | Earl Petrus Md Inc |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 21000 Plummer St, Chatsworth, California |
Authorized Official Name and Position | Earl Petrus (PRESIDENT) |
Authorized Official Contact | 3108207197 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Earl Petrus Md Inc Po Box 64487 Los Angeles CA 90064-0487 Ph: (310) 820-7197 | Earl Petrus Md Inc 21000 Plummer St Chatsworth CA 91311-4903 Ph: (818) 882-6400 |
NPI Number | 1770778490 |
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Provider Enumeration Date | 09/06/2007 |
Last Update Date | 07/23/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770778490 | NPI | - | NPPES |
00A197500 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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