Individual
CARLOS J PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4301 X ST, SACRAMENTO, CA 95817-2214
(916) 734-2011
Mailing address
1325 COTTONWOOD ST, WOODLAND, CA 95695-5131
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA53458
CA
Other
Enumeration date
05/21/2016
Last updated
02/24/2025
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