Pen, Chanthol
Pen, Chanthol is an individual health care provider with primary practice located at 822 East Avenue K , Lancaster CA 93535-5938. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pen, Chanthol can be contacted via phone (661) 579-9760.Contact Information
Primary practice address
822 East Avenue K
Lancaster CA 93535-5938
Phone: (661) 579-9760
Fax: (661) 579-9765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9232475 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 20656 | California |
Profile Details
| NPI number | 1649509134 |
|---|---|
| LBN Legal business name | Pen, Chanthol |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2009 |
| Last updated | Aug 28th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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