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1497421747
PETER PAUL PENG
LOMA LINDA, CA
NPI
1497421747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA PA60228)
Enumeration Date
2021-08-17
Last Update Date
2023-07-11
Business Address
PETER PAUL PENG PA-C
11175 CAMPUS ST STE 21121
LOMA LINDA, CA 92350-1700
Phone number: 909-558-5959
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Mailing Address
PETER PAUL PENG PA-C
33814 CANSLER WAY
YUCAIPA, CA 92399-6987
Phone number: 914-980-5001
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