Dr. Alfred John Pennisi
M.D. | Pediatrics | Male
Dr. Alfred John Pennisi, M.D. is a Los Angeles, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Alfred John Pennisi is
10833 Le Conte Ave, 12-441 Mdcc, Los Angeles, California - 90095-3075. He can be contacted on phone at
310-825-9346 and fax number 310-206-4855.
Dr. Alfred John Pennisi is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Alfred John Pennisi is
1356444855 which was assigned by NPPES on 07 Sep, 2006 and it was last updated on 09 Apr, 2012.
Dr. Alfred John Pennisi license number is
G21570 for Pediatrics (208000000X) in California.
Dr. Alfred John Pennisi is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Alfred John Pennisi basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Alfred John Pennisi |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Alfred John Pennisi address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 10833 Le Conte Ave, 12-441 Mdcc
Los Angeles, CA, 90095-3075
United States |
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| Phone Number : | 310-825-9346 |
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| Fax Number : | 310-206-4855 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1356444855 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Sep, 2006 |
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| Last Updated On : | 09 Apr, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Alfred John Pennisi are as mentioned. Primary taxonomy code for Dr. Alfred John Pennisi, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | G21570 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Alfred John Pennisi such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00G215700 | MEDICAID | CA | |
| GR0053510 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 10833 Le Conte Ave, 12-441 Mdcc
Los Angeles, CA, 90095-3075
United States |
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| Phone Number : | 310-825-9346 |
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| Fax Number : | 310-206-4855 |
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Business Location:
Patients can refer following map for directions to
Dr. Alfred John Pennisi practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.