NPI 1013807809

Jeffrey Penta

Practitioner Religious Nonmedical Practitioner La Mesa, CA

Practice location

Address: 5755 Yorkshire Ave, La Mesa, CA 91942-2816
Phone: (619) 307-1607

Registered specialties

Religious Nonmedical Practitioner Primary

Nursing Service Related Providers Taxonomy 374K00000X

Other Religious Nonmedical Practitioner providers in California →

Registry record

NPI: 1013807809
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jul 2025
Record last updated: 3 Jul 2025

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.