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1720018237
JOEL A PENGSON
MORENO VALLEY, CA
NPI
1720018237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA G72774)
Enumeration Date
2006-07-03
Last Update Date
2019-12-13
Business Address
Dr. JOEL A PENGSON MD
23180 HEMLOCK AVE STE 201
MORENO VALLEY, CA 92557-8001
Phone number: 951-243-6460
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Mailing Address
Dr. JOEL A PENGSON MD
30907 RIVERTON LN
TEMECULA, CA 92591-7033
Phone number: 951-526-2722
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