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Contact Information

JOSEPH PETERSON, MD
11234 ANDERSON ST
LOMA LINDA, CA92354-2804
 Phone: 909-558-2600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for JOSEPH PETERSON · (Male)

NPI Number 1467800276
Status Active
Credentials MD
Entity Individual
Enumeration date 06/02/2016
Last updated 08/02/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 287217
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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