Pena, Jorge A
Pena, Jorge A is an individual health care provider with primary practice located at 2510 Airpark Dr Suite 203, Redding CA 96001-2461. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Pena, Jorge A can be contacted via phone (530) 244-4034.Contact Information
Primary practice address
2510 Airpark Dr Suite 203
Redding CA 96001-2461
Phone: (530) 244-4034
Fax: (530) 244-1821
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | A75656 | California |
Profile Details
NPI number | 1881799658 |
---|---|
LBN Legal business name | Pena, Jorge A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 14th, 2006 |
Last updated | Jun 28th, 2023 - about 2 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881799658 | NPPES |
California | MEDICAID | GR0094810 |
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