Individual provider · Type 1 NPI

Theresa Marie Pena, RDH

Specialist · San Luis Obispo, CA

NPI number 1518760149 Active

Practice location

1428 Phillips Ln Ste 101
San Luis Obispo, CA 93401-2550

Call (805) 242-2430 Map

Mailing address

401 Yerba Buena St
Morro Bay, CA 93442-2973

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X21606 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1518760149

Theresa Marie Pena, RDH's National Provider Identifier is 1518760149, issued on Mar 29, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jan 28, 2026.