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

Phone: (310) 206-6688

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	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 18 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

State	Type	Number	Issuer
All States	NPI	1609042274	NPPES
California	MEDICAID	0A1033160

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