According to our database, the NPI number for Jackson W Penry MD is 1003055401 and activated since 15 years ago. Jackson W Penry MD is an individual provider who specializes in Diagnostic Radiology, and the primary practice location is 27700 Medical Center Road-radiology Department, Mission Viejo, CA 92691. You can also contact Jackson W Penry MD via telephone number is (949) 364-7744. Provider NPI information was last updated on 07/29/2014.

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Overview of Jackson W Penry MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 02/10/2009
  • Last updated: 07/29/2014

Primary Scrop of Practice

  • Taxonomy Code: 2085R0202X
  • Specialty: Diagnostic Radiology
  • License Number: A114302
  • License State: CA

Provider Mailing Address

  • Address: Dept La 21789
    Pasadena, CA 91185
  • Phone: 949-263-8620
  • Fax: 800-409-7005

Provider Practice Location

  • Address: 27700 Medical Center Road-radiology Department
    Mission Viejo, CA 92691
  • Phone: 949-364-7744
  • Fax:

Scope of Practice

  • Taxonomy Code: 2085R0202X
  • Specialty: Diagnostic Radiology
  • License Number: A114302
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 00A1143020
  • Identifier Type: Other
  • Identifier State: CA
  • Issuer: BS/BC OF CA

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jackson W Penry MD?
  • A: The npi number for Jackson W Penry MD is 1003055401.
  • Q: What are Jackson W Penry MD's specialties?
  • A: Jackson W Penry MD's specialties are Diagnostic Radiology and different specialities.
  • Q: What is the medical license for Jackson W Penry MD?
  • A: The medical license number for Jackson W Penry MD is A114302 and issued in CA in USA.
  • Q: Where is Jackson W Penry MD practice location?
  • A: Jackson W Penry MD is practicing at 27700 Medical Center Road-radiology Department, Mission Viejo, CA 92691.
  • Q: How to contact Jackson W Penry MD?
  • A: You can contact Jackson W Penry MD via 949-364-7744.