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1689738189
JUAN CARLOS PENA
WILMINGTON, CA
NPI
1689738189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A79366)
Enumeration Date
2006-12-20
Last Update Date
2015-04-15
Business Address
-- JUAN CARLOS PENA M.D.
445 E ANAHEIM ST STE H
WILMINGTON, CA 90744-4600
Phone number: 310-518-6146
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Mailing Address
-- JUAN CARLOS PENA M.D.
200 OCEANGATE SUITE 100
LONG BEACH, CA 90802-4302
Phone number: 562-499-6191
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