Individual
JULIET M PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
309 W QUINTO ST, SANTA BARBARA, CA 93105-5318
(805) 563-0041
(805) 563-0051
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
A105540
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A1055400
BLUE SHIELD
CA
05
—
1215175070
—
CA
01
—
4912531
CIGNA
CA
01
—
P01061463
RAILROAD MEDICARE
CA
Enumeration date
01/31/2009
Last updated
12/14/2022
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