Individual
JOHANA YESENIA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 206-6727
Mailing address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 206-6727
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A189082
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2022
Last updated
07/27/2024
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