Penn, Renee Johannah

Penn, Renee Johannah is an individual health care provider with primary practice located at 200 Medical Plaza Suite 550, Los Angeles CA 90024-0000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Penn, Renee Johannah can be contacted via phone (310) 206-6688.

Contact Information

Primary practice address
200 Medical Plaza Suite 550 Los Angeles CA 90024-0000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X A103316 California

Profile Details

NPI number 1609042274
LBN Legal business name Penn, Renee Johannah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2008
Last updated Dec 4th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609042274 NPPES
California MEDICAID 0A1033160

Popular Providers