CHARLES PENICK
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1871970806- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 27335 TOURNEY RD STE 100, SANTA CLARITA, CA, 913552200
- Phone
- (661) 338-5983
Specialties & Taxonomies
Family Medicine
Primary License: ID #M-15738
All Addresses
MAILING
5655 N GLENWOOD ST STE 105
GARDEN CITY, ID, 837141831