Individual
PHILLIP PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4060 WATSON PLAZA DR, LAKEWOOD, CA 90712-4033
(562) 497-3500
Mailing address
5422 W THUNDERBIRD RD, GLENDALE, AZ 85306-4700
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
CA
Other
Enumeration date
08/12/2021
Last updated
11/03/2025
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