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Individual

MRS. PENNY R TIMMEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5901 E 7TH ST, BUILDING 150, SCI/D, LONG BEACH, CA 90822-5201
(562) 826-8000
(562) 826-5718
Mailing address
5901 E 7TH ST, BUILDING 150, SCI/D, LONG BEACH, CA 90822-5201
(562) 826-8000
(562) 826-5718

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
992011
CO
1041C0700X
Clinical Social Worker
992011
CO
261Q00000X
Clinic/Center
992011
CO
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
992011
CO
261QV0200X
VA Clinic/Center
992011
CO
273Y00000X
Rehabilitation Hospital Unit
992011
CO
282N00000X
General Acute Care Hospital
Primary
992011
CO
283X00000X
Rehabilitation Hospital
992011
CO
314000000X
Skilled Nursing Facility
992011
CO

Other

Enumeration date
07/18/2006
Last updated
09/11/2025
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