Organization · Type 2 NPI

Nicolas de la Pena MD Inc

Health Service Clinic/Center · Merced, CA

NPI number 1578831996 Active

Practice location

3389 G St, Suite A
Merced, CA 95340-0981

Fax (209) 722-7833

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center Primary 261QH0100XA61619 (CA)

Health Service Clinic/Center: Definition to come...

3 other providers at this address

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About NPI 1578831996

Nicolas de la Pena MD Inc's National Provider Identifier is 1578831996, issued on Dec 13, 2011. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Merced, CA. The record was last updated on Dec 13, 2011.