Nicholas Penner, M.D. is a student in an organized health care education training program in San Diego, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Nicholas Penner, M.D. NPI is 1104158104. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
402 DICKINSON ST
SUITE 380
SAN DIEGO, CA
ZIP 92103-902
Phone: (619) 543-6529
The enumeration date for this NPI number is 2/2/2010 and was last updated on 2/2/2010.