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Individual

MR. JORGE A PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2510 AIRPARK DR, SUITE 203, REDDING, CA 96001-2461
(530) 244-4034
(530) 244-1821
Mailing address
2510 AIRPARK DR, SUITE 203, REDDING, CA 96001-2461
(530) 244-4034
(530) 244-1821

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
A75656
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0094810
CA
Enumeration date
09/14/2006
Last updated
06/28/2023
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