Individual
DR. EDWIN PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE, PATTON, CA 92369
(909) 425-7679
(909) 425-6635
Mailing address
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE, PATTON, CA 92369
(909) 425-7679
(909) 425-6635
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A69543
CA
Other
Enumeration date
03/14/2007
Last updated
12/19/2013
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