Individual
LLOYD S PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 BUTTE ST, REDDING, CA 96001-0852
(530) 244-5400
Mailing address
PO BOX 11949, WESTMINSTER, CA 92685-1949
(866) 883-5374
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A73776
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A837760
—
CA
01
—
A83776
MEDICAL LICENSE
CA
Enumeration date
10/10/2006
Last updated
01/02/2013
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