Individual
YEN-YI PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 DAMONTE RANCH PKWY STE 1030, RENO, NV 89521-5968
(775) 432-6189
(775) 284-5625
Mailing address
500 DAMONTE RANCH PKWY STE 1030, RENO, NV 89521-5968
(775) 432-6189
(775) 284-5625
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
15710
NV
2084P0804X
Child & Adolescent Psychiatry Physician
15710
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110040
—
IL
01
—
11872821
CAQH
NV
Enumeration date
07/31/2008
Last updated
10/14/2022
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