SearchCalifornia152W00000X

William Petersen, O.D

NPI 1477690105 · on the registry since 2007 · sole proprietor

Practice

Address
34179 Golden Lantern St
Suite 201
Dana Point, CA 92629
Phone
(949) 661-1181
Fax
(949) 661-8892

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-06-07

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