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IRENE PE MD
NPI 1154560415
Pediatrics in Garden Grove, CA

Active since February 10, 2009CLIA 05D0893894 · Waiver
12665 GARDEN GROVE BLVD, SUITE 606, GARDEN GROVE, CA 92843(714) 530-5100(714) 534-9400 Get Directions Write a Review

NPPES record last updated: February 10, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Irene Pe Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IRENE PE MD (NPI 1154560415) is an individual pediatrics provider in Garden Grove, California, licensed in California (A49301) and active in the NPI registry since February 2009. She holds a CLIA Waiver certificate valid through October 31, 2026.

NPPES Registry Identity

NPI1154560415
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameIRENE PECredential: MD
Location Address12665 GARDEN GROVE BLVD, SUITE 606Garden Grove, CA 92843-1901
Mailing Address12665 Garden Grove Blvd, Suite 606Garden Grove, CA 92843-1901 · (714) 530-5100 · Fax (714) 534-9400
Phone(714) 530-5100
Fax(714) 534-9400
Sole ProprietorNo
Enumeration DateFebruary 10, 2009
✔ NPI 1154560415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A49301
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
12665 GARDEN GROVE BLVD, Garden Grove, CA 92843
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Other Identifiers 1

Medicaid00A493010CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0893894

Irene Pe MD · Garden Grove, CA
Active · expires Oct 31, 2026
CLIA Number05D0893894
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorIrene Pe MD
Laboratory Phone(714) 530-5100
Laboratory LocationIrene Pe MD12665 Garden Grove Blvd Ste 606, Garden Grove, CA 92843
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANG KWAK PHYSICAL THERAPY, INC.
Physical Therapist
12665 GARDEN GROVE BLVD, SUITE 707
GARDEN GROVE, CA 92843
Orange County (714) 537-1234
SUNSHINE KIDS MEDICAL ASSOCIATES INC
Pediatrics
12665 GARDEN GROVE BLVD, #604
GARDEN GROVE, CA 92843
Orange County (714) 537-8777
ROBERT E RAMSEY D.D.S.
Dentist
12665 GARDEN GROVE BLVD, 102
GARDEN GROVE, CA 92843
Orange County (714) 537-3598
DR. HENRY A GOTTERER PHARMD
Pharmacist
12665 GARDEN GROVE BLVD, #108
GARDEN GROVE, CA 92843
Orange County (714) 530-1130
DR. ANNMARIE TRANG NGUYEN MD
Clinic/Center (Medical Specialty)
12665 GARDEN GROVE BLVD, SUITE 611
GARDEN GROVE, CA 92843
Orange County (714) 539-5225
STRONGKIDS MEDICAL GROUP, INC
Pediatrics
12665 GARDEN GROVE BLVD, SUITE 713
GARDEN GROVE, CA 92843
Orange County (714) 537-6595
SELECT MULTI SPECIALTY MEDICAL CARE
Clinical Medical Laboratory
12665 GARDEN GROVE BLVD, 203
GARDEN GROVE, CA 92843
Orange County (714) 591-5683
DR. ROBIN ANN HYBL M.D.
Pediatrics
12665 GARDEN GROVE BLVD, SUITE 300
GARDEN GROVE, CA 92843
Orange County (714) 537-8777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Irene Pe's NPI number?

The NPI number for Irene Pe is 1154560415. It was assigned to this individual provider in the NPPES registry on February 10, 2009.

Where is Irene Pe located?

Irene Pe practices at 12665 Garden Grove Blvd Suite 606, Garden Grove, CA 92843. The listed phone number is (714) 530-5100.

What is Irene Pe's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Irene Pe hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0893894) is associated with this NPI, valid through October 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Irene Pe was last updated on February 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.