Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PENGSE PO, DO
ActivePENGSE PO, DO is a 2083A0100X healthcare provider located in SAN DIEGO, California. NPI 1528643137 is currently active in the NPPES registry. Verify at CMS.
2083A0100X · SAN DIEGO, CA
Registration Details
- NPI Number
- 1528643137
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 15, 2021 (5.4400431980075 yrs)
- Last Updated
- Oct 15, 2025
- Licenses
-
0102207368 (VA)20A23397 (CA)
Practice Information
- Address
-
NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DRSAN DIEGO, CA, 921345000Browse CA providers · Browse ZIP 92134
- Phone
- 7812448817
- Primary Specialty
-
2083A0100X
2083A0100X
- Additional Specialty
- 2083A0100X
- Additional Specialty
- General Practice
Other 2083A0100X Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. PAUL T. ANTONY | MD, MPH, MBA | 1164425880 |
| PAUL VINCENT ROCERETO | MD | 1285617126 |
| DR. REBECCA G BERKE | M.D. | 1083690101 |
| DR. LOUIS GEORGE GILLERAN | M.D. | 1831178334 |
| DR. DEAN ALAN BAILEY | M.D. | 1518947431 |
| DR. JOHN C SIMS | MD | 1881665453 |
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.