(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003055401
Provider Name: JACKSON W PENRY MD
Entity Type: Individual
Taxonomy Code: 2085R0202X
Specialty: Radiology
License Number: A114302
Most Important Dates
Enumeration Date: 02/10/2009
Last Updated: 07/29/2014
Provider Practice Location
27700 MEDICAL CENTER ROAD-RADIOLOGY DEPARTMENT
MISSION VIEJO
CA
926916426
Practice Location Phone/Fax
Phone: 9493647744
Fax:
Provider Mailing Location
DEPT LA 21789
PASADENA
CA
911851789
Provider Mailing Phone/Fax
Phone: 9492638620
Fax: 8004097005