Individual
MR. JORGE A PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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