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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PETER PAUL PENG, PA-C

Active Sole Proprietor

PETER PAUL PENG, PA-C is a Surgical Physician Assistant healthcare provider located in LOMA LINDA, California. NPI 1497421747 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · LOMA LINDA, CA

Registration Details

NPI Number
1497421747
Provider Type
Individual
Gender
Male
NPI Issued
Aug 17, 2021 (4.988545063112 yrs)
Last Updated
Jul 11, 2023
License
PA60228 (CA)
Sole Proprietor
Yes

Practice Information

Address
11175 CAMPUS ST STE 21121
LOMA LINDA, CA, 923501700
Browse CA providers · Browse ZIP 92350
Phone
9095585959
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in LOMA LINDA, CA

Name Credential NPI
LEIGH ANN BALLOU PA-C 1891794657
O. HOWARD SHATTUCK JR. P.A. 1568569598
JASON L RODDICK PA-C 1164509899
ANDREA RIDA 1629541354
ANDREW FELIX 1851179154
MR. MARK DOUGLAS GROVE PA-C 1679306153
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.