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Individual

DR. JORGE A PENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 N GARFIELD AVE STE 311, MONTEREY PARK, CA 91754-1171
(626) 280-0408
(626) 280-5288
Mailing address
324 SHARON RD, ARCADIA, CA 91007-8045
(626) 447-4343

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A29890
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A298900
CA
Enumeration date
07/11/2006
Last updated
04/24/2008
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