| Penny Lane | |
|
2450 S Atlantic Blvd Suite # 101 Commerce CA 90040-1200 | |
| (323) 318-9960 | |
| (323) 780-3211 |
| Full Name | Penny Lane |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2450 S Atlantic Blvd, Commerce, California |
| Authorized Official Name and Position | Janet Josefina Yanez (BILINGUAL OUTPATIENT THERAPIST) |
| Authorized Official Contact | 3233189960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penny Lane 15317 Rayen St North Hills CA 91343-5117 Ph: (818) 892-3423 | Penny Lane 2450 S Atlantic Blvd Suite # 101 Commerce CA 90040-1200 Ph: (323) 318-9960 |
| NPI Number | 1558664631 |
|---|---|
| Provider Enumeration Date | 12/13/2010 |
| Last Update Date | 12/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558664631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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