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Organization
JOSHUA PENGSON, M.D. INC.
Active
Organization
JOSHUA PENGSON, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA PENGSON MD (CEO)
(951) 243-6460
Entity
Organization
Contact information
Practice address
23180 HEMLOCK AVE STE 201, MORENO VALLEY, CA 92557-8001
(951) 243-6460
Mailing address
23180 HEMLOCK AVE STE 201, MORENO VALLEY, CA 92557-8001
(951) 243-6460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578925855
—
CA
Enumeration date
11/27/2019
Last updated
12/13/2019
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