Carmen M Petrus is a Medical in Anaheim, California. Carmen M Petrus practices all healthcare services and medical treatments related to Medical. The NPI Number for Carmen M Petrus is 1467458455. The last update date is 2011-04-21.
Carmen M Petrus's current location address is 1211 W La Palma Ave, Anaheim, California. You can contact this provider via phone number 7147767090 and fax number 7147765632. The mailing address for Carmen M Petrus is 1211 W La Palma Ave, Anaheim, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carmen M Petrus |
|---|---|
| Address | 1211 W La Palma Ave, Anaheim, California |
| Phone Number | 7147767090 |
| Fax Number | 7147765632 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1467458455 |
|---|---|
| Provider Enumeration Date | 2005-06-23 |
| Last Updated Date | 2011-04-21 |
Provider Mailing Address Detail
| Address | 1211 W La Palma Ave |
|---|---|
| City | Anaheim |
| State | California (CA) |
| Post Code | 928012815 |
| Phone Number | 7147767090 |
| Fax Number | 7147765632 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA14772 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identifier code assigned to Carmen M Petrus by the Centers for Medicare & Medicaid Services?
The Carmen M Petrus has been issued the NPI (National Provider Identifier) 1467458455 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Carmen M Petrus?
The Carmen M Petrus is situated at 1211 W La Palma Ave, in the city of Anaheim, state of CA, with the zip code 928012815.
What is Carmen M Petrus's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Carmen M Petrus is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
On what date was the 1467458455 assigned to Carmen M Petrus?
The Carmen M Petrus was issued its 1467458455 on 2005-06-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Carmen M Petrus's details last updated?
The information pertaining to the Carmen M Petrus, including its address, specialty, and other details, was most recently updated on 2011-04-21.