DR. ROSA PENG


Address: 10600 Magnolia Ave Ste A, Riverside, CA 92505-1819
Phone: 9513598100

DR. ROSA PENG (NPI# 1043540164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043540164
Entity Type Individual
Full Name DR. ROSA PENG
Credential D.M.D., M.S.D.
Practice Address 10600 Magnolia Ave Ste A
Riverside
CA 92505-1819
Mailing Address 1311 N Broadway Ste A
Santa Ana
CA 92706-3929
Practice Telephone 9513598100
Practice Fax Number 9513591184
Mailing Telephone 7146670411
Enumeration Date 2010-01-12
Last Update Date 2012-08-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
45133 CA Dental Providers

Office Location

Street Address 10600 MAGNOLIA AVE STE A
City RIVERSIDE
State CA
Zip Code 92505-1819

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205458460 Mark Anthony Vargas Behavioral Analyst 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 2020-05-11
1568099976 Victoria Lee Student in an Organized Health Care Education/Training Program Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 2020-03-25
1588222087 A Homecare Services, Inc In Home Supportive Care 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 2019-05-31
1609302397 Tap Pharmacy, Inc. Pharmacy 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 2017-05-02
1467998658 Onofre Gascon Behavior Technician 11711 Collett Ave, #1614, Riverside, CA 92505 2017-01-11
1780038505 Nash David Martinez Emergency Medicine 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 2016-04-18
1447639901 Jose Joel Manalese Dds Inc Dentist 3950 Pierce St., Suite L., Riverside, CA 92505 2015-05-29
1821493230 Jean Huynh Physician Assistant 11725 State Ave., Suite 100, Riverside, CA 92505 2014-10-28
1003160649 Elaf Farahat Dietitian, Registered 10800 Magnolia Avenue., Riverside, CA 92505 2012-11-05
1730458217 Tammy Lynn Gilmore Non-emergency Medical Transport (VAN) 10770 Hole Avenue, 106, Riverside, CA 92505 2011-12-29
Find all providers in zip 92505

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245697473 Ronald Simus I Dentist 7170 Indiana Ave, Riverside, CA 92504-4544 2016-01-19
1538460811 Lee Eugene Olsen Dentist 3564 Van Buren Blvs, Riverside, CA 92503 2010-11-03
1164674859 Carrie Akemi Imoto Dentist 3511 Madison St, Riverside, CA 92504-3739 2008-10-14
1871755652 Dr.h.c.ahuja Dds A P C Dentist 4959 Arlington Ave Ste H, Riverside, CA 92504-2756 2008-07-02
1063613842 Michael Chad Hawkins Dentist 3511 Madison Ave Suite F, Riverside, CA 92504 2007-05-30
1740492081 Larry B. Crawford Dentist 301 E Alessandro Blvd Ste 3b, Riverside, CA 92508-2464 2007-05-06
1013035153 C Douglas Fowler Dds Inc Dentist 6850 Brockton Avenue, Suite 103, Riverside, CA 92506-3826 2007-03-27
1750405288 E Jan Davidian Dentist 6886 Indiana Ave, Riverside, CA 92506-4218 2007-03-19
1528120797 Hongsheng Sam Tong Dentist 11705 Slate Ave Ste 150, Riverside, CA 92505-7119 2006-12-14
1538235767 Robert C Stockdale Dentist 3487 Central Ave, Riverside, CA 92506-2115 2006-11-28
Find all providers in RIVERSIDE

Competitor

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City RIVERSIDE
Zip Code 92505

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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