Pena, Dolores

Pena, Dolores is an individual health care provider with primary practice located at 850 5Th St , Gonzales CA 93926-9491. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Pena, Dolores can be contacted via phone (831) 675-3601.

Contact Information

Primary practice address
850 5Th St Gonzales CA 93926-9491
Phone: (831) 675-3601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X FP2621680 California

Profile Details

NPI number 1053933192
LBN Legal business name Pena, Dolores
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2020
Last updated Jun 26th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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