Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kelsey Carl Peterson Jr., MD

Individual provider Specialist · NPI 1033281019

Dr. Kelsey Carl Peterson Jr., MD is a Specialist in Huntington Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

17742 Beach Blvd 245
Huntington Beach, CA 92647-6818
Phone: (714) 329-0179
Fax: (714) 965-0311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G17592 (CA)

Record details

NPI number1033281019
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 14, 2006
Last updated in NPPESMarch 15, 2016

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