Healthcare Provider Details

I. General information

NPI: 1932849403
Provider Name (Legal Business Name): PETER N. ESKANDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2022
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W ARBOR DR # MC8895
SAN DIEGO CA
92103-1911
US

IV. Provider business mailing address

200 W ARBOR DR # MC8895
SAN DIEGO CA
92103-1911
US

V. Phone/Fax

Practice location:
  • Phone: 619-543-1967
  • Fax:
Mailing address:
  • Phone: 619-543-1967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number10384
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberA189112
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: