Search › California › 101YA0400X

Anna Pena

NPI 1972667236 · on the registry since 2006 · sole proprietor

Practice

Address
1111 N El Dorado St
Stockton, CA 95202
Phone
(209) 938-0228
Fax
(209) 938-0281
Organisation at this address
Medmark Treatment Centers - Stockton, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
45

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
261Q00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-12-22

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