Individual
LORRAINE PENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3900 5TH AVE STE 300, SAN DIEGO, CA 92103-3138
(858) 554-1212
(858) 795-1195
Mailing address
3900 5TH AVE STE 300, SAN DIEGO, CA 92103-3138
(858) 554-1212
(858) 795-1195
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95032630
CA
Other
Enumeration date
10/30/2024
Last updated
04/25/2025
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