IndividualActive
Tara Peterson, PA-C
NPI 1104474634 · Complex Family Planning Physician · Baldwin Park, CA
Provider details
- NPI number
- 1104474634
- Entity type
- Individual
- Primary specialty
- Complex Family Planning PhysicianAllopathic & Osteopathic Physicians
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 61012 (CA)
Mailing address
4070 Sterling Way
Baldwin Park, CA 91706-4223
Registry dates
- Enumerated
- 2019-08-28
- Last updated
- 2023-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.