Joshua Pengson, M.D. Inc.

LBN: Joshua Pengson, M.D. Inc.
Joshua Pengson, M.D. Inc. is an health care organization with primary practice located at 23180 Hemlock Ave Ste 201 , Moreno Valley CA 92557-8001. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Joshua Pengson, M.D. Inc. can be contacted via phone (951) 243-6460, or through Pengson, Joshua via phone (951) 243-6460.

Contact Information

Primary practice address
23180 Hemlock Ave Ste 201 Moreno Valley CA 92557-8001
Phone: (951) 243-6460
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pengson, Joshua Doctor of Medicine (MD)
Phone: (951) 243-6460

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1346886140
LBN Legal business name Joshua Pengson, M.D. Inc.
DBA Doing business as
Authorized official Pengson, Joshua Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2019
Last updated Dec 13th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346886140 NPPES
California MEDICAID 1578925855

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