Individual
GILBERTO PENA LEDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, NP
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(855) 355-5864
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP22396
CA
Other
Enumeration date
01/28/2013
Last updated
11/22/2017
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