Individual
LISA DE LA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2414 S FAIRVIEW ST, SANTA ANA, CA 92704-5318
(714) 641-0121
Mailing address
2524 ELDEN AVE APT M, COSTA MESA, CA 92627-1371
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95040334
CA
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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