Eric A. Peck
Cardiothoracic Vascular Surgeon
3838 San Dimas St Suite A-100
Bakersfield
, California 93301-2284
Eric A. Peck
Cardiothoracic Vascular Surgeon
3838 San Dimas St Suite A-100
Bakersfield
, California 93301-2284
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Eric A. Peck
- 3400 Data Dr
- Rancho Cordova, CA
- Zip : 95670-7956
- Phone :
Second Address
- Eric A. Peck
- 3838 San Dimas St Suite A-100
- Bakersfield, CA
- Zip : 93301-2284
- Fax : (661) 327-5432
- Phone : (661) 327-8538
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | A91071 | CA |
National Provider Identifier
| NPI | 1124128517 |
|---|---|
| Provider Name | Eric A. Peck |
| First Address | Rancho Cordova, CA 95670-7956 |
| Second Address | Bakersfield, CA 93301-2284 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/09/2006 |
| Last Update Date | 03/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H38003 | (02) |
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.