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NPI Code Detail

MEDICARE: CYNTHIA PENA

MEDICARE: CYNTHIA 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
1172V00000XCommunity Health Worker
2225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1356833305
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA PENA
Provider Business Mailing Address
First Line : 12401 FILMORE ST SPC 311
Second Line :
City : SYLMAR
State : CA
Zip : 91342-8806
Country : US
Telephone Number : 818-486-8649
Fax Number :
Provider Business Practice Location Address
First Line : 10200 SEPULVEDA BLVD STE 170
Second Line :
City : MISSION HILLS
State : CA
Zip : 91345-3322
Country : US
Telephone Number : 818-895-9707
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2018
Last Update Date : 06/16/2025

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Directions to “ CYNTHIA PENA ” Practice Location

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