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T K PETERSON MD
NPI 1548526320
Specialist in Lynwood, CA

Active since April 06, 2012
3617 MLK BOULEVARD SUITE 1, LYNWOOD, CA 90262(310) 638-5119(310) 635-0738 Get Directions Write a Review

NPPES record last updated: April 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About T K Peterson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

T K PETERSON MD (NPI 1548526320) is a healthcare organization registered as a specialist in Lynwood, California and active in the NPI registry since April 2012. The organization lists Thomas Kimball Peterson, President, as its authorized official.

NPPES Registry Identity

NPI1548526320
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameT K PETERSON MD
Location Address3617 MLK BOULEVARD SUITE 1Lynwood, CA 90262
Mailing Address3617 Mlk BlvdLynwood, CA 90262 · (310) 638-5119 · Fax (310) 635-0738
Phone(310) 638-5119
Fax(310) 635-0738
Organization SubpartNo
Authorized OfficialThomas Kimball PetersonPresident · (310) 638-5119
Enumeration DateApril 6, 2012
✔ NPI 1548526320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A26295
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3617 MLK BOULEVARD SUITE 1, Lynwood, CA 90262
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Other Identifiers 1

Medicare PINA83367CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is T K Peterson MD's NPI number?

The NPI number for T K Peterson MD is 1548526320. It was assigned to this organization in the NPPES registry on April 6, 2012.

Where is T K Peterson MD located?

T K Peterson MD is located at 3617 Mlk Boulevard Suite 1, Lynwood, CA 90262. The listed phone number is (310) 638-5119.

What is T K Peterson MD's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for T K Peterson MD was last updated on April 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.