Individual
REBECCA ANN PENERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
18080 BEACH BLVD, SUITE 102, HUNTINGTON BEACH, CA 92648-1342
(714) 841-5055
Mailing address
18080 BEACH BLVD, SUITE 102, HUNTINGTON BEACH, CA 92648-1342
(714) 841-5055
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E5011
CA
Other
Enumeration date
07/20/2009
Last updated
11/09/2021
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