Elisabeth M Peffley
General Practice Physician
2448 Wilshire Blvd
Santa Monica
, California 90403-5823
Elisabeth M Peffley
General Practice Physician
2448 Wilshire Blvd
Santa Monica
, California 90403-5823
(818) 370-5153
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Elisabeth M Peffley
- 932 10th St Apt 1
- Santa Monica, CA
- Zip : 90403-2917
- Phone : (818) 370-5153
Second Address
- Elisabeth M Peffley
- 2448 Wilshire Blvd
- Santa Monica, CA
- Zip : 90403-5823
- Phone : (818) 370-5153
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 14-1463 | AZ |
National Provider Identifier
| NPI | 1013235654 |
|---|---|
| Provider Name | Elisabeth M Peffley |
| First Address | Santa Monica, CA 90403-2917 |
| Second Address | Santa Monica, CA 90403-5823 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/05/2010 |
| Last Update Date | 10/02/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.