JENNIFER LYNN PENA NP NPI 1962759878

NPI Information

NPI: 1962759878
Provider Name: JENNIFER LYNN PENA, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
9220 W SUNSET BLVD
SUITE 110
LOS ANGELES, CA
ZIP 90069
Phone: (310) 248-4010
Get Directions

Jennifer Lynn Pena, NP is an acute care nurse practitioner in Los Angeles, CA. Jennifer Lynn Pena, NP NPI is 1962759878. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9220 W SUNSET BLVD
SUITE 110
LOS ANGELES, CA
ZIP 90069-501
Phone: (310) 248-4010
Fax: (310) 248-4001

The enumeration date for this NPI number is 8/9/2012 and was last updated on 3/11/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	RN525621	CALIFORNIA	No
2	363LA2100X	Nurse Practitioner	Acute Care	NPF 12752	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W18762	OTHER	CALIFORNIA	GROUP MEDICARE
2	GR0100430	OTHER	CALIFORNIA	GROUP MEDI-CAL
3	1902846306	OTHER	CALIFORNIA	GROUP NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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