Pennino, Anna M

Pennino, Anna M is an individual health care provider with primary practice located at 8511 Pershing Dr , Playa Del Rey CA 90293-8101. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Pennino, Anna M can be contacted via phone (310) 577-6401.

Contact Information

Primary practice address
8511 Pershing Dr Playa Del Rey CA 90293-8101
Phone: (310) 577-6401
Fax: (310) 577-6403
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 9996 California

Profile Details

NPI number 1962495408
LBN Legal business name Pennino, Anna M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Jul 21st, 2014 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962495408 NPPES
California MEDICAID SD0099960

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