Provider Demographics
NPI:1871663401
Name:REE, PETER CARL (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:CARL
Last Name:REE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:200 E BEVERLY BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-7001
Mailing Address - Country:US
Mailing Address - Phone:323-517-9800
Mailing Address - Fax:323-727-7574
Practice Address - Street 1:11480 BROOKSHIRE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-5018
Practice Address - Country:US
Practice Address - Phone:562-861-9914
Practice Address - Fax:562-869-0034
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG298842085R0001X
TXF24182085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology