NPI 1003055401

Jackson W Penry, MD

Practitioner Diagnostic Radiology Physician Mission Viejo, CA

Practice location

Address: 27700 Medical Center Road-Radiology Department, Mission Viejo, CA 92691-6426
Phone: (949) 364-7744
Mailing address: Dept La 21789, Pasadena, CA 91185-1789

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence A114302 (CA)

Other Radiology providers in California →

Registry record

NPI: 1003055401
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Feb 2009
Record last updated: 29 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.