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Contact Information

LIDIA P KRUSE PERALTA, MD
200 MERCY CIR
CAMP PENDLETON, CA92055
 Phone: 760-725-1213
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for LIDIA P KRUSE PERALTA · (Female)

NPI # 1629576210
Status Active
Credentials MD
Entity Individual
Enumeration date 01/29/2018
Last updated 08/27/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • AZ License # 73757
  • VA License # 0101267772
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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