Search › California › 207Q00000X
Van Pena, PH.D., M.D
NPI 1154488146 · on the registry since 2007
Practice
- Address
- 6136 Batesole Dr
Santa Rosa, CA 95404 - Phone
- (707) 542-8107
- Fax
- (707) 542-8107
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California