Charles Penick is a student in an organized health care education training program in Palm Springs, 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. Charles Penick NPI is 1871970806. 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:
1150 N INDIAN CANYON DR
PALM SPRINGS, CA
ZIP 92262-872
Phone: (760) 561-7327
The NPI 1871970806 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/28/2015 and was last updated on 4/28/2015.