Individual
DR. MICHAEL HECTOR PENILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1265 N LA CADENA DR, SUITE 1, COLTON, CA 92324-2455
(909) 423-0000
Mailing address
1265 N LA CADENA DR, SUITE 1, COLTON, CA 92324-2455
(909) 423-0000
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
DC20484
CA
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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