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Individual

DR. CYNTHIA LYNN PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1101 B GALE WILSON BLVD, SUITE 307, FAIRFIELD, CA 94533-3700
(707) 646-4669
(707) 646-4667
Mailing address
1101 B GALE WILSON BLVD, SUITE 307, FAIRFIELD, CA 94533-3700
(707) 646-4669
(707) 646-4667

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A88607
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05957253
ECFMG NO.
CA
01
A88607
MEDICAL LICENSE
CA
Enumeration date
10/24/2006
Last updated
09/14/2015
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