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Individual

DR. YUCHI PETER PENG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
38660 MEDICAL CENTER DR STE A120, PALMDALE, CA 93551-4385
(661) 729-2316
(661) 729-2367
Mailing address
38660 MEDICAL CENTER DR STE A-120, PALMDALE, CA 93551-4385
(661) 948-5928
(661) 948-2210

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G85681
CA
208D00000X
General Practice Physician
G85681
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G856810
CA
05
ZZZ8386Z
CA
Enumeration date
06/07/2006
Last updated
08/08/2022
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