Nicolas De La Pena MD INC
Clinic/Center, Health Services in Merced, CA. Organization (NPI-2).
NPI number1578831996
StatusActive
Last updated in NPPESDec 13, 2011
Details
- NPI
- 1578831996
- Entity type
- Organization (NPI-2)
- Legal business name
- Nicolas De La Pena MD INC
- Organization subpart
- No
- Enumeration date
- Dec 13, 2011
- Last updated
- Dec 13, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | A61619 | CA | Yes |
Practice location
3389 G StSuite A
Merced, CA 95340-0981
Phone 209-722-1205 · Fax 209-722-7833
Mailing address
3389 G StSuite A
Merced, CA 95340-0981
Phone 209-722-1205 · Fax 209-722-7833
Authorized official
Nicolas R Dela Pena
President
2097221205
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