Individual
ALEX PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2125 OAK GROVE RD STE 200, WALNUT CREEK, CA 94598-2520
(925) 296-7150
Mailing address
2125 OAK GROVE RD STE 200, WALNUT CREEK, CA 94598-2520
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A122596
CA
2085R0204X
Vascular & Interventional Radiology Physician
A122596
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/22/2011
Last updated
06/18/2025
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