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Individual

DR. CARLOS PENA ESTIANDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
17756 SATICOY ST, RESEDA, CA 91335-3381
(818) 757-3068
(818) 757-7594
Mailing address
17756 SATICOY ST, RESEDA, CA 91335-3381
(818) 757-3068
(818) 757-7594

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A38326
CA
207R00000X
Internal Medicine Physician
A38326
CA
208VP0000X
Pain Medicine Physician
Primary
A38326
CA

Other

Enumeration date
10/18/2006
Last updated
09/11/2025
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