Alex Penn
Radiology, Diagnostic Radiology in Walnut Creek, CA. Individual provider (NPI-1).
NPI number1972881159
StatusActive
Last updated in NPPESJun 18, 2025
Details
- NPI
- 1972881159
- Entity type
- Individual (NPI-1)
- Name
- Alex Penn
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 22, 2011
- Certification date
- Jun 18, 2025
- Last updated
- Jun 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | A122596 | CA | Yes |
| 2085R0204X | Radiology, Vascular & Interventional Radiology | A122596 | CA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2125 Oak Grove Rd Ste 200Walnut Creek, CA 94598-2520
Phone 925-296-7150
Mailing address
2125 Oak Grove Rd Ste 200Walnut Creek, CA 94598-2520
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