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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588719629 NPPES
California MEDICAID 00A621670

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