Wendy L. De La Pena
Pediatrician Pediatric Rheumatologist
2195 Club Center Dr Ste G
San Bernardino
, California 92408
Wendy L. De La Pena
Pediatrician Pediatric Rheumatologist
2195 Club Center Dr Ste G
San Bernardino
, California 92408
(909) 558-4000
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About
Features
Specialties
- Pediatrician
- Pediatric Rheumatologist
Languages spoken
- English
Location
First Address
- Wendy L. De La Pena
- File Number 54701
- Los Angeles, CA
- Zip : 90074-0001
- Phone : (909) 558-4000
Second Address
- Wendy L. De La Pena
- 2195 Club Center Dr Ste G
- San Bernardino, CA
- Zip : 92408
- Fax : (909) 835-1858
- Phone : (909) 835-1801
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Is Wendy L. De La Pena a sole practitioner?
Is Wendy L. De La Pena accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | A78894 | CA |
| Y | 2080P0216X | Pediatric Rheumatologist | A78894 | CA |
National Provider Identifier
| NPI | 1407890429 |
|---|---|
| Provider Name | Wendy L. De La Pena |
| First Address | Los Angeles, CA 90074-0001 |
| Second Address | San Bernardino, CA 92408 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2006 |
| Last Update Date | 06/11/2019 |
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.