Individual
DR. HAI EN PENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2460 N PONDEROSA DR, STE A105, CAMARILLO, CA 93010-2375
(805) 482-0711
(805) 482-6524
Mailing address
2460 N PONDEROSA DR, STE A105, CAMARILLO, CA 93010-2375
(805) 482-0711
(805) 482-6524
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4368
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E43680
—
CA
Enumeration date
09/18/2007
Last updated
07/12/2023
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