Miriam Pena
Student in an Organized Health Care Education/Training Program in Hemet, CA. Individual provider (NPI-1).
NPI number1619442332
StatusActive
Last updated in NPPESSep 29, 2026
Details
- NPI
- 1619442332
- Entity type
- Individual (NPI-1)
- Name
- Miriam Pena
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 9, 2018
- Certification date
- Nov 20, 2025
- Last updated
- Sep 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | CA | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 373H00000X | Day Training/Habilitation Specialist | – | CA | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
1105 E Florida AveHemet, CA 92543-4512
Phone 951-439-2968
Mailing address
1105 E Florida AveHemet, CA 92543-4512
Phone 951-439-2968
Other practice locations
30892 Suncatcher St
Murrieta, CA 92563-7958
Murrieta, CA 92563-7958
Phone 646-406-9904
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