Penera, Keith E
Penera, Keith E is an sole proprietor health care provider with primary practice located at 19066 Magnolia St , Huntington Beach CA 92646-2232. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Penera, Keith E can be contacted via phone (714) 968-0068.Contact Information
Primary practice address
19066 Magnolia St
Huntington Beach CA 92646-2232
Phone: (714) 968-0068
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | EL1784 | California |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E4975 | California |
Profile Details
| NPI number | 1982834347 |
|---|---|
| LBN Legal business name | Penera, Keith E |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2009 |
| Last updated | Jul 2nd, 2020 - about 4 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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