| Joshua Pengson, M.d. Inc. | |
|
23180 Hemlock Ave Ste 201 Moreno Valley CA 92557-8001 | |
| (951) 243-6460 | |
| Not Available |
| Full Name | Joshua Pengson, M.d. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 23180 Hemlock Ave Ste 201, Moreno Valley, California |
| Authorized Official Name and Position | Joshua Pengson (CEO) |
| Authorized Official Contact | 9512436460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Pengson, M.d. Inc. 23180 Hemlock Ave Ste 201 Moreno Valley CA 92557-8001 Ph: (951) 243-6460 | Joshua Pengson, M.d. Inc. 23180 Hemlock Ave Ste 201 Moreno Valley CA 92557-8001 Ph: (951) 243-6460 |
| NPI Number | 1346886140 |
|---|---|
| Provider Enumeration Date | 11/27/2019 |
| Last Update Date | 12/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346886140 | NPI | - | NPPES |
| 1578925855 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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