KELSEY C. PETERSON

PACIFICA ORTHOPEDICS MEDICAL CORPORATION

Dr KELSEY C. PETERSON is a male medical professional, specializing in Orthopedic Surgery. He graduated in 1967 from University Of Illinois At Chicago Health Science Center.

Contact

PACIFICA ORTHOPEDICS MEDICAL CORPORATION

18800 DELAWARE ST
SUITE 1100
HUNTINGTON BEACH
CA
926486021

Tel: 7148415333

KELSEY C. PETERSON Information

Npi 1033281019
Pac Id 6103074067
Professional Enrollment Id I20120918000567
Last Name PETERSON
First Name KELSEY
Middle Name C.
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER
Graduation Year 1967
Primary Specialty ORTHOPEDIC SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PACIFICA ORTHOPEDICS MEDICAL CORPORATION
Group Practice Pac Id 0446208375
Number Of Group Practice Members 4
Line 1 Street Address 18800 DELAWARE ST
Line 2 Street Address SUITE 1100
Marker Of Address Line 2 Suppression
City HUNTINGTON BEACH
State CA
Zip Code 926486021
Phone Number 7148415333
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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