Organization
PENA MEDICAL INC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOT ALPERT (PRESIDENT)
(310) 230-5741
Entity
Organization
Contact information
Practice address
9001 WILSHIRE BLVD STE 106, BEVERLY HILLS, CA 90211-1839
(310) 230-5741
Mailing address
8581 SANTA MONICA BLVD # 940, WEST HOLLYWOOD, CA 90069-4120
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
07/25/2011
Last updated
02/17/2012
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