Provider Demographics
NPI:1891714473
Name:FRANKLIN, PETER ERREN (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:ERREN
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:550 CAMINO EL ESTERO
Mailing Address - Street 2:STE 204
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-3231
Mailing Address - Country:US
Mailing Address - Phone:831-375-5151
Mailing Address - Fax:831-375-6682
Practice Address - Street 1:550 CAMINO EL ESTERO
Practice Address - Street 2:STE 204
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-3231
Practice Address - Country:US
Practice Address - Phone:831-375-5151
Practice Address - Fax:831-375-6682
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA042215207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA29531Medicare UPIN
CA00422150Medicare ID - Type Unspecified