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Organization
JOEL A PENGSON, MD, A MEDICAL CORPORATION
Active
Organization
JOEL A PENGSON, MD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL A PENGSON MD (CEO)
(951) 500-0388
Entity
Organization
Contact information
Practice address
23180 HEMLOCK AVE, MORENO VALLEY, CA 92557-8001
(951) 243-6460
Mailing address
23180 HEMLOCK AVE, MORENO VALLEY, CA 92557-8001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G72774
CA
Other
Enumeration date
10/04/2006
Last updated
12/29/2021
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