Individual
KEITH E PENERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
31001 RANCHO VIEJO RD STE 200, SAN JUAN CAPISTRANO, CA 92675-8704
(949) 661-9600
(949) 443-6200
Mailing address
31001 RANCHO VIEJO RD STE 200, SAN JUAN CAPISTRANO, CA 92675-8704
(949) 661-9600
(949) 443-6200
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
EL1784
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4975
CA
Other
Enumeration date
07/20/2009
Last updated
03/20/2026
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