Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | DC14292 | CA |
NPI | 1326089418 |
---|---|
Provider Name | Dr. Peter Ziegler |
First Address | Los Angeles, CA 90035-1319 |
Second Address | Los Angeles, CA 90035-1319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 08/07/2007 |