Individual
TAMMY PENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10833 LE CONTE AVE, MDCC RM 12-430, LOS ANGELES, CA 90095-3075
(310) 825-6482
Mailing address
10833 LE CONTE AVE RM 12-430, LOS ANGELES, CA 90095-1752
(310) 825-6482
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA09518800
NJ
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
A136879
CA
Other
Enumeration date
07/10/2014
Last updated
09/26/2023
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