Individual
ANGEL DE LA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44550 VILLAGE CT STE 103, PALM DESERT, CA 92260-3817
(760) 540-6837
Mailing address
78730 ROCKBERRY CT, LA QUINTA, CA 92253-4186
(760) 540-6837
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
07/29/2025
Last updated
07/31/2025
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