Individual
MARIASOL PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2020 ZONAL AVE, IRD 620, LOS ANGELES, CA 90033
(310) 222-2409
Mailing address
2020 ZONAL AVE, IRD 620, LOS ANGELES, CA 90033
(323) 226-7504
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A119968
CA
Other
Enumeration date
04/21/2010
Last updated
12/01/2021
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