Individual
DR. IGNEZ JANSEN PENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4316 MARINA DEL REY DRIVE, # 1031, MARINA DEL REY, CA 90292
(310) 823-1230
Mailing address
4316 MARINA CITY DR UNIT 1031, MARINA DEL REY, CA 90292-5820
(310) 823-1230
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C53566
CA
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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