Dr Carlos Pena Estiandan, MD is a
Pain Medicine - Pain Medicine physician based in Reseda, California. Dr Carlos Pena Estiandan is licensed to practice in California (license number A38326) and his current practice location is 17756 Saticoy St, Reseda, California. He can be reached at his office (for appointments etc.) via phone at
(818) 757-3068.
NPI number for Dr Carlos Pena Estiandan is 1467533943 and his current mailing address is 17756 Saticoy St, Reseda, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467533943.
Physician's Profile
| Full Name | Dr Carlos Pena Estiandan |
|---|
| Gender | Male |
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| Speciality | Pain Medicine - Pain Medicine |
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| Location | 17756 Saticoy St, Reseda, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1467533943
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Carlos Pena Estiandan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467533943 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | A38326 (California) | Primary |
| 207R00000X | Internal Medicine | A38326 (California) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | A38326 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Carlos Pena Estiandan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Carlos Pena Estiandan, MD
17756 Saticoy St,
Reseda, CA 91335-3381
Ph: (818) 757-3068 | Dr Carlos Pena Estiandan, MD
17756 Saticoy St,
Reseda, CA 91335-3381
Ph: (818) 757-3068 |
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