Penn, Steve
Penn, Steve is an sole proprietor health care provider with primary practice located at 1758 Sierra Leone Ave Ste A , Rowland Heights CA 91748-5837. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Penn, Steve can be contacted via phone (626) 839-2938.Contact Information
Primary practice address
1758 Sierra Leone Ave Ste A
Rowland Heights CA 91748-5837
Phone: (626) 839-2938
Fax: (626) 898-4711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 13661 | California |
Profile Details
| NPI number | 1942454749 |
|---|---|
| LBN Legal business name | Penn, Steve |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2008 |
| Last updated | May 20th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942454749 | NPPES |
| California | MEDICAID | 1942454749 |
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