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NPI Code Detail

MEDICARE: ALEJANDRA PENA

MEDICARE: ALEJANDRA PENA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1215663869
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEJANDRA PENA
Provider Business Mailing Address
First Line : 255 N ANAHEIM BLVD UNIT 415
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-2988
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 S HARBOR BLVD STE 910
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-3721
Country : US
Telephone Number : 562-821-1491
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2022
Last Update Date : 06/24/2024

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Directions to “ ALEJANDRA PENA ” Practice Location

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