Healthcare Provider Details

I. General information

NPI: 1548245830
Provider Name (Legal Business Name): PETER L ZAMFIRESCU ALEXANDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: PETER LEON ALEXANDER MD

II. Dates (important events)

Enumeration Date: 12/09/2005
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4234 RIVERWALK PARKWAY SUITE 230 PACIFIC PULMONARY MEDICAL GROUP
RIVERSIDE CA
92505
US

IV. Provider business mailing address

4234 RIVERWALK PARKWAY SUITE 230 PACIFIC PULMONARY MEDICAL GROUP
RIVERSIDE CA
92505
US

V. Phone/Fax

Practice location:
  • Phone: 951-781-3672
  • Fax: 951-781-0365
Mailing address:
  • Phone: 951-781-3672
  • Fax: 951-781-0365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberG59612
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberG59612
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: