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1003831082
JOSE CARLOS PENA
SAN DIEGO, CA
NPI
1003831082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY13353)
Enumeration Date
2006-07-12
Last Update Date
2007-07-08
Business Address
Dr. JOSE CARLOS PENA Ph.D.
4550 KEARNY VILLA RD SUITE 116
SAN DIEGO, CA 92123-1578
Phone number: 858-279-1223
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Mailing Address
Dr. JOSE CARLOS PENA Ph.D.
2418 BANCROFT ST
SAN DIEGO, CA 92104-5122
Phone number: 619-282-3822
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