Mr. Kyle Petersen
Orthopaedic Spine Surgeon
100 Ucla Medical Plz Ste 755
Los Angeles
, California 90024-6990
Mr. Kyle Petersen
Orthopaedic Spine Surgeon
100 Ucla Medical Plz Ste 755
Los Angeles
, California 90024-6990
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About
Features
Specialties
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Mr. Kyle Petersen
- 5767 W Century Blvd Ste 400
- Los Angeles, CA
- Zip : 90045-5631
- Phone :
Second Address
- Mr. Kyle Petersen
- 100 Ucla Medical Plz Ste 755
- Los Angeles, CA
- Zip : 90024-6990
- Phone : (310) 319-1234
Reviews
FAQs
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What type of doctor is Mr. Kyle Petersen
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Is Mr. Kyle Petersen a sole practitioner?
Is Mr. Kyle Petersen accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0117X | Orthopaedic Spine Surgeon | A171287 | CA |
National Provider Identifier
| NPI | 1104280700 |
|---|---|
| Provider Name | Mr. Kyle Petersen |
| First Address | Los Angeles, CA 90045-5631 |
| Second Address | Los Angeles, CA 90024-6990 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/04/2016 |
| Last Update Date | 14/09/2021 |
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.