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NPI Code Detail

MEDICARE: MS. CLAIRE CHUN-CHI PENG LCSW

MEDICARE:  MS. CLAIRE CHUN-CHI PENG  LCSW
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 WorkerCA
21041C0700XClinical Social WorkerLCSW 65024CA

General Provider Information

NPI Number : 1144680893
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CLAIRE CHUN-CHI PENG LCSW
Provider Business Mailing Address
First Line : 2715 TORTOSA AVE
Second Line :
City : ROWLAND HEIGHTS
State : CA
Zip : 91748-4744
Country : US
Telephone Number : 626-675-8166
Fax Number :
Provider Business Practice Location Address
First Line : 11428 KENYON WAY
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91701-9234
Country : US
Telephone Number : 909-948-1065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2016
Last Update Date : 08/09/2022

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Directions to “ MS. CLAIRE CHUN-CHI PENG LCSW” Practice Location

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