Individual
LAURA MARIE PENUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3620 ATLANTIC AVE, LONG BEACH, CA 90807-3418
(951) 233-6560
Mailing address
3620 ATLANTIC AVE, LONG BEACH, CA 90807-3418
(951) 233-6560
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
—
TX
363AM0700X
Medical Physician Assistant
Primary
—
CA
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/19/2017
Last updated
02/15/2026
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