IndividualActive
Carl Peck, M.D.
NPI 1073755302 · Clinical Pharmacology Physician · San Luis Obispo, CA
Provider details
- NPI number
- 1073755302
- Entity type
- Individual
- Primary specialty
- Clinical Pharmacology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- G19713 (CA)
Practice location
5955 Balm Ridge Way
San Luis Obispo, CA 93401-8024
Phone: (805) 541-2581
Fax: (805) 547-1226
Mailing address
5955 Balm Ridge Way
San Luis Obispo, CA 93401-8024
Registry dates
- Enumerated
- 2009-04-01
- Last updated
- 2009-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.