MEDICARE: DR. PETER ZIEGLER D.C

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	111NX0800X	Orthopedic Chiropractor	DC14292	CA

General Provider Information

NPI Number	:	1326089418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER ZIEGLER D.C

Provider Business Mailing Address
First Line	:	9200 W PICO BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-1319
Country	:	US
Telephone Number	:	310-553-3441
Fax Number	:	310-553-0411

Provider Business Practice Location Address
First Line	:	9200 W PICO BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-1319
Country	:	US
Telephone Number	:	310-553-3441
Fax Number	:	310-553-0411

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	07/08/2007

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