Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | A24762 | CA |
NPI | 1619048527 |
---|---|
Provider Name | Peter M. Falk |
First Address | Pasadena, CA 91188-0001 |
Second Address | Los Angeles, CA 90027-6063 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 29/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A247620 | (05) | CA |
A83097 | (02) |