Peng, Albert

Peng, Albert is an individual health care provider with primary practice located at 2725 Mendocino Ave , Santa Rosa CA 95403-2805. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Peng, Albert can be contacted via phone (707) 545-4537.

Contact Information

Primary practice address
2725 Mendocino Ave Santa Rosa CA 95403-2805
Phone: (707) 545-4537
Fax: (707) 545-6726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A75807 California
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X A75807 California
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X A75807 California

Profile Details

NPI number 1609862820
LBN Legal business name Peng, Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Feb 26th, 2021 - about 3 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 1609862820 NPPES
California MEDICAID 1609862820
California Other P01774450

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