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Contact Information

PHILIP F PETERSEN, MD, PHD
1200 N STATE ST
SUITE A7D, CLINIC TOWER
LOS ANGELES, CA90033-1029
 Phone: 626-991-8927
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pathology

207ZC0006X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for PHILIP F PETERSEN · (Male)

NPI Number 1538797543
Status Active
Credentials MD, PHD
Entity Individual
Enumeration date 03/27/2020
Last updated 11/07/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • CA License # 189962
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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