SearchCalifornia390200000X

Calvin Petkus

NPI 1225981608 · on the registry since 2026

Practice

Address
29500 Heathercliff Rd Spc 179
Malibu, CA 90265
Phone
(818) 852-1373

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-02-17

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