CHARLES PENICK

SANTA CLARITA, CA
NPI1871970806
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M-15738)
Enumeration Date2015-04-28
Last Update Date2024-12-05
Business Address
CHARLES PENICK
27335 TOURNEY RD STE 100
SANTA CLARITA, CA 91355-2200
Phone number: 661-338-5983
Mailing Address
CHARLES PENICK
5655 N GLENWOOD ST STE 105
GARDEN CITY, ID 83714-1831
Phone number: