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Search › California › 207ZP0102X

Jeffrey Petersen, MD

NPI 1184998585 · on the registry since 2012

Practice

Address
10833 Le Conte Ave
13-145a Center For Hlth Sci
Los Angeles, CA 90095
Phone
(626) 274-6485
Organisation at this address
Ucla
Ucla
Bert J Thomas, Md
Ucla Medical Group
Ucla Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
671

Registry record

Primary taxonomy
207ZP0102X
207ZP0102X
Also registered as
207ZB0001X
390200000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-11-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California