Pena, Jorge A
Pena, Jorge A is an sole proprietor health care provider with primary practice located at 600 N Garfield Ave Ste 311 , Monterey Park CA 91754-1171. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Pena, Jorge A can be contacted via phone (626) 280-0408.Contact Information
Primary practice address
600 N Garfield Ave Ste 311
Monterey Park CA 91754-1171
Phone: (626) 280-0408
Fax: (626) 280-5288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A29890 | California |
Profile Details
| NPI number | 1942235940 |
|---|---|
| LBN Legal business name | Pena, Jorge A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Apr 24th, 2008 - about 17 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 | 1942235940 | NPPES |
| California | MEDICAID | 00A298900 |
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