MEDICARE: DR. CALVIN T PETERS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	A138038	CA

General Provider Information

NPI Number	:	1043524630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CALVIN T PETERS MD

Provider Business Mailing Address
First Line	:	6071 W OUTER DR
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48235-2624
Country	:	US
Telephone Number	:	313-966-3300
Fax Number	:

Provider Business Practice Location Address
First Line	:	5310 FOUNTAIN AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-1005
Country	:	US
Telephone Number	:	323-461-9961
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2010
Last Update Date	:	05/13/2026

Similar Medicare Providers

1124487889 — MS. EMILIE CELIS PADRONIA PT
Practice Location Address:

5310 FOUNTAIN AVE
LOS ANGELES, CA
90029-1005

Practice Phone: 323-461-9961
Practice Fax: 323-461-6854

1194767871 — FOUNTAIN VIEW SUBACUTE & NURSING CENTER, LLC
Practice Location Address:

5310 FOUNTAIN AVE
LOS ANGELES, CA
90029-1005

Practice Phone: 323-461-9961
Practice Fax: 323-461-6854

1700104585 — DR. PRICE CHIROPRACTIC INC
Practice Location Address:

5336 FOUNTAIN AVENUE
LOS ANGELES, CA
90029-1005

Practice Phone: 323-467-5200
Practice Fax: 323-467-1952

1518203934 — MICHELLE J LEE MOT, OTR/L
Practice Location Address:

5310 FOUNTAIN AVE
LOS ANGELES, CA
90029-1005

Practice Phone: 323-461-9961
Practice Fax:

1457775355 — TOTAL LOWBACK CARE MEDICAL GROUP
Practice Location Address:

5336 FOUNTAIN AVE
LOS ANGELES, CA
90029-1005

Practice Phone: 323-467-5200
Practice Fax: 323-467-1952

1669896585 — STEPHEN PRICE
Practice Location Address:

5336 FOUNTAIN AVE
LOS ANGELES, CA
90029-1005

Practice Phone: 323-467-5200
Practice Fax: 323-467-1952

Directions to “ DR. CALVIN T PETERS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.