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Josiah Peterson
NPI 1407013428 · on the registry since 2008
Practice
- Address
- 16490 Harbor Blvd Ste B
Fountain Valley, CA 92708 - Phone
- (714) 369-3429
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-05-19
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California