Individual
KAREN PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 S MOUNT VERNON AVE, GRAND TERRACE, CA 92324-3928
(909) 370-3396
(909) 783-4288
Mailing address
PO BOX 10016, REDLANDS, CA 92375-3216
(909) 883-5069
(909) 883-5473
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
49934
CA
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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