Healthcare Provider Details

I. General information

NPI: 1609707215
Provider Name (Legal Business Name): PETER NAAMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6395 S MCCARRAN BLVD STE B
RENO NV
89509-6194
US

IV. Provider business mailing address

27034 HELMOND DR
CALABASAS CA
91301-2338
US

V. Phone/Fax

Practice location:
  • Phone: 775-823-9419
  • Fax:
Mailing address:
  • Phone: 818-919-3366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: