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Organization
JOSE R PENA MD PC
Active
Organization
JOSE R PENA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE R. PENA MD (OWNER)
(619) 691-1766
Entity
Organization
Contact information
Practice address
374 H ST, SUITE 201, CHULA VISTA, CA 91910-5547
(619) 691-1766
(619) 691-1767
Mailing address
PO BOX 1770, LA MESA, CA 91944-1770
(619) 464-1165
(619) 567-1011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/17/2006
Last updated
01/11/2012
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