Scott Richard Petersen in Los Angeles - Surgical Critical Care
Scott Richard Petersen - NPI 1912986555
Scott Richard Petersen is a Surgical Critical Care in Los Angeles, California. Scott Richard Petersen practices all healthcare services and medical treatments related to Surgical Critical Care. The NPI Number for Scott Richard Petersen is 1912986555. The last update date is 2012-07-19.
Scott Richard Petersen's current location address is File 56765, Los Angeles, California. You can contact this provider via phone number 6024063860 and fax number 6024066132. The mailing address for Scott Richard Petersen is File 56765, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Richard Petersen |
|---|---|
| Address | File 56765, Los Angeles, California |
| Phone Number | 6024063860 |
| Fax Number | 6024066132 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1912986555 |
|---|---|
| Provider Enumeration Date | 2006-01-12 |
| Last Updated Date | 2012-07-19 |
Provider Mailing Address Detail
| Address | File 56765 |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900746765 |
| Phone Number | 6024063860 |
| Fax Number | 6024066132 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical Critical Care |
|---|---|
| Taxonomy | 2086S0102X |
| Licence No | 14414 |
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Definition: A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specia |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 231720 | AZ | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Scott Richard Petersen?
The Scott Richard Petersen has been issued the NPI (National Provider Identifier) 1912986555 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Scott Richard Petersen's physical address?
The Scott Richard Petersen is physically located at File 56765, in the city of Los Angeles, CA, with the postal code 900746765.
What is Scott Richard Petersen's area of expertise and its corresponding taxonomy classification?
The Scott Richard Petersen's field of specialization is Surgical Critical Care, and it falls under the taxonomy code 2086S0102X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1912986555 to Scott Richard Petersen?
The Scott Richard Petersen received its 1912986555 assignment from the Centers for Medicare & Medicaid Services on 2006-01-12.
When was the information related to Scott Richard Petersen most recently updated or refreshed?
The details pertaining to the Scott Richard Petersen, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-07-19.
NPI Number: 1730182858
Address: 40 Old Lancaster Rd Apt 412, Merion Station, PA