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Search › California › 163W00000X

Krisan Kulusich-Petersen

NPI 1235475070 · on the registry since 2012

Practice

Address
976 Lenzen Ave
Suite 1800
San Jose, CA 95126
Phone
(408) 792-5572
Fax
(408) 792-5506
Organisation at this address
Dads
County Santa Clara
County Of Santa Clara
County Of Santa Clara
County Of Santa Clara
Inferred from a shared address, not stated in the registry.
Clinicians at this address
48

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-12-26

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