Individual
JOSE PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
441 N LAKEVIEW AVE, ANAHEIM, CA 92807-3028
(888) 988-2800
Mailing address
12682 HOOVER ST, GARDEN GROVE, CA 92841-4164
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT4352
CA
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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