Individual
DR. RICHARD FERNANDO PEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17075 DEVONSHIRE STREET, SUITE 201, NORTHRIDGE, CA 91325-5407
(818) 365-9595
(818) 365-8955
Mailing address
17075 DEVONSHIRE STREET, SUITE 201, NORTHRIDGE, CA 91325-5407
(818) 365-9595
(818) 365-8955
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A33230
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0091580
—
CA
Enumeration date
08/18/2006
Last updated
11/27/2007
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