# MARIASOL PENA MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962133207
- **Authorized official:** MARIASOL PENA MD (DIRECTOR)
- **Authorized official phone:** (626) 442-4058

## Contact information

- **Practice address:** 11375 LOCH LOMOND RD, LOS ALAMITOS, CA 90720-2913
- **Practice address phone:** (626) 422-4058
- **Mailing address:** 11278 LOS ALAMITOS BLVD \# 162, LOS ALAMITOS, CA 90720-3958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2022
- **Last updated:** 09/08/2022