Peter Koetters
Pediatric Critical Care Doctor
15107 Vanowen St
Van Nuys
, California 91405-4542
Peter Koetters
Pediatric Critical Care Doctor
15107 Vanowen St
Van Nuys
, California 91405-4542
(626) 795-9235
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About
Features
Specialties
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Peter Koetters
- 272 El Nido Ave
- Pasadena, CA
- Zip : 91107-4453
- Phone : (626) 795-9235
Second Address
- Peter Koetters
- 15107 Vanowen St
- Van Nuys, CA
- Zip : 91405-4542
- Phone : (818) 902-5771
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0203X | Pediatric Critical Care Doctor | A86407 | CA |
National Provider Identifier
| NPI | 1013943588 |
|---|---|
| Provider Name | Peter Koetters |
| First Address | Pasadena, CA 91107-4453 |
| Second Address | Van Nuys, CA 91405-4542 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2006 |
| Last Update Date | 08/07/2007 |
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.