Pena, Jose M
Pena, Jose M is an individual health care provider with primary practice located at 795 Willow Rd Bldg 334, Menlo Park CA 94025-2539. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Pena, Jose M can be contacted via phone (650) 573-2222.Contact Information
Primary practice address
795 Willow Rd Bldg 334
Menlo Park CA 94025-2539
Phone: (650) 573-2222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A62167 | California |
Profile Details
| NPI number | 1588719629 |
|---|---|
| LBN Legal business name | Pena, Jose M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Jul 8th, 2007 - 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 | 1588719629 | NPPES |
| California | MEDICAID | 00A621670 |
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