Mark W Penn, MD | |
8080 Parkway Dr, La Mesa, CA 91942-2104 | |
(800) 528-5000 | |
Not Available |
Full Name | Mark W Penn |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 8080 Parkway Dr, La Mesa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639205255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036085370 (Illinois) | Secondary |
207Q00000X | Family Medicine | G131027 (California) | Primary |
Entity Name | Desert Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114918612 PECOS PAC ID: 8123930427 Enrollment ID: O20031229000246 |
Mailing Address | Practice Location Address |
---|---|
Mark W Penn, MD 8080 Parkway Dr, La Mesa, CA 91942-2104 Ph: (800) 528-5000 | Mark W Penn, MD 8080 Parkway Dr, La Mesa, CA 91942-2104 Ph: (800) 528-5000 |
Dr. Michelle Cao, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8881 Fletcher Pkwy, Suite 105, La Mesa, CA 91942 Phone: 858-499-2600 Fax: 619-462-9625 | |
Dr. Vinh Duc Nguyen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2600 Fax: 619-644-6899 | |
Armdabi Chung, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10862 Calle Verde, La Mesa, CA 91941 Phone: 619-660-1826 | |
Jungook Devin Shin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8080 Parkway Dr, La Mesa, CA 91942 Phone: 800-290-5000 Fax: 800-290-5000 | |
Joseph P Aiello, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8875 La Mesa Blvd, La Mesa, CA 91942 Phone: 619-670-8028 | |
Ms. Paula Leibham, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5525 Grossmont Center Dr Ste 200, La Mesa, CA 91942 Phone: 619-644-6569 Fax: 619-644-6526 | |
Dr. Joseph Francis Leonard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5525 Grossmont Center Dr, Suite 200, La Mesa, CA 91942 Phone: 619-644-6500 Fax: 619-644-6526 |