Individual
MR. RICHARD ZHEN PENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, MBA, RCEP, CDE
Contact information
Practice address
15060 VICTORY BLVD, UNIT 103, VAN NUYS, CA 91411-1835
(818) 426-7711
Mailing address
PO BOX 18311, ENCINO, CA 91416-8311
(818) 981-0608
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
322
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21110333
NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS
—
01
—
322
ACSM
—
Enumeration date
11/28/2007
Last updated
12/23/2011
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