Penner, Robert

Penner, Robert is an individual health care provider with primary practice located at 681 Third Avenue Ste. B, Chula Vista CA 91910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Penner, Robert can be contacted via phone (619) 425-2150.

Contact Information

Primary practice address
681 Third Avenue Ste. B Chula Vista CA 91910
Phone: (619) 425-2150
Fax: (619) 425-2848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G5922 California

Profile Details

NPI number 1982671541
LBN Legal business name Penner, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Apr 30th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982671541 NPPES
California MEDICAID GR0067510

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