# BRAD PENENBERG MD, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730108853
- **Authorized official:** DR. BRAD PENENBERG MD (PRESIDENT)
- **Authorized official phone:** (310) 322-4278

## Contact information

- **Practice address:** 120 S SPALDING DR, SUITE \#400, BEVERLY HILLS, CA 90212-1800
- **Practice address phone:** (310) 860-3470
- **Mailing address:** 120 S SPALDING DR, SUITE \#400, BEVERLY HILLS, CA 90212-1800
- **Mailing address phone:** (310) 860-3470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 09/28/2007