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Organization
MARIASOL PENA MD
Active
Organization
MARIASOL PENA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIASOL PENA MD (DIRECTOR)
(626) 442-4058
Entity
Organization
Contact information
Practice address
11375 LOCH LOMOND RD, LOS ALAMITOS, CA 90720-2913
(626) 422-4058
Mailing address
11278 LOS ALAMITOS BLVD # 162, LOS ALAMITOS, CA 90720-3958
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
NULL
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
09/08/2022
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