Petersen Holdings Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PETERSEN HOLDINGS INC.

Doing business as

Foot Solutions

Practice address

10873 W Pico Blvd
Los Angeles, CA 90064-2114

Phone

(310) 475-4041

NPI assigned

Aug 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Irick Petersen

Title

Owner/Ceo

Phone

(310) 475-4041

Specialties & licenses 1

Addresses

Other names 1

• Foot Solutions Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710990619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2264 29TH ST APT E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904052058",
            "telephone_number": "310-314-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10873 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642114",
            "telephone_number": "310-475-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSEN HOLDINGS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "IRICK",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "310-475-4041",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mijan Michele Peters
• Randy L Peters
• Stefanie Doyle Peters, PH.D.
• Tiffany Lajaun Peters
• Tom C Peters, LCSW
• Ashlee Petersen, CADC I
• Celia Santana Petersen, LCSW
• Guy Petersen
• Jeffrey Ming Petersen, MD
• John Devin Petersen, M.D.

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.