Keith E Penera, DPM | |
19066 Magnolia St, Huntington Beach, CA 92646-2232 | |
(714) 968-0068 | |
Not Available |
Full Name | Keith E Penera |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 15 Years |
Location | 19066 Magnolia St, Huntington Beach, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982834347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | EL1784 (California) | Secondary |
213E00000X | Podiatrist | E4975 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthcare Partners Affiliates Medical Group | 7315842002 | 645 |
Centers For Family Medicine | 9931143799 | 105 |
Provider Name | Healthcare Partners Affiliates Medical Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
Provider Name | Providence Medical Foundation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Provider Name | Centers For Family Medicine |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467598243 PECOS PAC ID: 9931143799 Enrollment ID: O20050614000191 |
Mailing Address | Practice Location Address |
---|---|
Keith E Penera, DPM 19066 Magnolia St, Huntington Beach, CA 92646-2232 Ph: (714) 968-0068 | Keith E Penera, DPM 19066 Magnolia St, Huntington Beach, CA 92646-2232 Ph: (714) 968-0068 |
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