Juan Carlos Pena, MD | |
445 E Anaheim St Ste H, Wilmington, CA 90744-4600 | |
(310) 518-6146 | |
(877) 469-1428 |
Full Name | Juan Carlos Pena |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 445 E Anaheim St Ste H, Wilmington, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689738189 | NPI | - | NPPES |
P01272671/DU4032 | Other | CA | RAILROAD MEDICARE |
00A793660 | Medicaid | CA | |
00A793660 | Other | CA | MEDI-CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A79366 (California) | Primary |
Entity Name | Molina Healthcare Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194811760 PECOS PAC ID: 7517957608 Enrollment ID: O20061101000348 |
Mailing Address | Practice Location Address |
---|---|
Juan Carlos Pena, MD 200 Oceangate, Suite 100, Long Beach, CA 90802-4302 Ph: (562) 499-6191 | Juan Carlos Pena, MD 445 E Anaheim St Ste H, Wilmington, CA 90744-4600 Ph: (310) 518-6146 |
Jesus Gutierrez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Broad Ave, Wilmington, CA 90744 Phone: 310-518-8800 | |
Mauricio Flores, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Broad Ave, Wilmington, CA 90744 Phone: 310-518-8800 | |
Matthew Lombard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Broad Ave, Wilmington, CA 90744 Phone: 310-518-8800 | |
Ehsan Montazeri, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1231 N Avalon Blvd, Wilmington, CA 90744 Phone: 301-835-7215 Fax: 301-835-6520 | |
Dr. Angel Guillen Perez, MEDICAL DOCTOR Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1721 N Wilmington Blvd, Wilmington, CA 90744 Phone: 310-835-1414 Fax: 310-835-4050 | |
Dr. Clarence Canlapan Monteclaro, MD, MBA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Broad Ave, Wilmington, CA 90744 Phone: 310-404-2040 | |
Anokhi Shah, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 E Anaheim St, Wilmington, CA 90744 Phone: 310-522-8700 |