Individual
BRITTNEY PENAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
3800 STOCKER ST, 23, VIEW PARK, CA 90008-5122
(323) 998-3001
Mailing address
4859 W SLAUSON AVE, STE #135, LOS ANGELES, CA 90056-1290
(323) 998-3001
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
589
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
MEDICAL
CA
Enumeration date
08/25/2015
Last updated
10/29/2016
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