Roy C. Peterson
Emergency Medical Services Family Doctor - Adult Medicine
115 West E Street
Tehachapi
, California 93581-1900
Roy C. Peterson
Emergency Medical Services Family Doctor - Adult Medicine
115 West E Street
Tehachapi
, California 93581-1900
(661) 823-8106
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About
Features
Specialties
- Emergency Medical Services
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Roy C. Peterson
- 20322 Oakdale Ln
- Tehachapi, CA
- Zip : 93561-7649
- Fax : (661) 823-8106
- Phone : (661) 972-2874
Second Address
- Roy C. Peterson
- 115 West E Street
- Tehachapi, CA
- Zip : 93581-1900
- Fax : (661) 823-8106
- Phone : (661) 972-2874
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | G036719 | CA |
| N | 207QA0505X | Family Doctor - Adult Medicine | G036719 | CA |
National Provider Identifier
| NPI | 1164662714 |
|---|---|
| Provider Name | Roy C. Peterson |
| First Address | Tehachapi, CA 93561-7649 |
| Second Address | Tehachapi, CA 93581-1900 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/02/2009 |
| Last Update Date | 19/03/2014 |
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.