Lisa De La Pena, NP
Nurse Practitioner, Primary Care in Santa Ana, CA. Individual provider (NPI-1).
NPI number1104745264
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1104745264
- Entity type
- Individual (NPI-1)
- Name
- Lisa De La Pena
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2026
- Certification date
- Jul 13, 2026
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 95040334 | CA | Yes |
Practice location
2414 S Fairview StSanta Ana, CA 92704-5318
Phone 714-641-0121
Mailing address
2524 Elden Ave Apt MCosta Mesa, CA 92627-1371
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