Individual provider · Type 1 NPI

Ruben Pena

Student in an Organized Health Care Education/Training Program · Gardena, CA

NPI number 1073873584 Active

Practice location

108 W Victoria St
Gardena, CA 90248-3523

Call (310) 759-6866 Map

Mailing address

506 W Jackman St
Lancaster, CA 93534-2531

Other practice locations

  • 43845 10th St W Ste 2B, Lancaster, CA 93534-4800 · (661) 940-9094
  • 506 W Jackman St, Lancaster, CA 93534-2531 · (661) 726-2850

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073873584

Ruben Pena's National Provider Identifier is 1073873584, issued on May 18, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gardena, CA. The record was last updated on Jun 9, 2026.