Dr. Jose Carlos Pena
Clinical Psychologist
4550 Kearny Villa Rd Suite 116
San Diego
, California 92123-1578
Dr. Jose Carlos Pena
Clinical Psychologist
4550 Kearny Villa Rd Suite 116
San Diego
, California 92123-1578
(619) 563-3913
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Jose Carlos Pena
- 2418 Bancroft St
- San Diego, CA
- Zip : 92104-5122
- Fax : (619) 563-3913
- Phone : (619) 282-3822
Second Address
- Dr. Jose Carlos Pena
- 4550 Kearny Villa Rd Suite 116
- San Diego, CA
- Zip : 92123-1578
- Fax : (858) 279-6154
- Phone : (858) 279-1223
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PSY13353 | CA |
| Y | 103TC0700X | Clinical Psychologist | PSY13353 | CA |
National Provider Identifier
| NPI | 1003831082 |
|---|---|
| Provider Name | Dr. Jose Carlos Pena |
| First Address | San Diego, CA 92104-5122 |
| Second Address | San Diego, CA 92123-1578 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.