Individual provider · Type 1 NPI

Jackson W. Penry, MD

Diagnostic Radiology Physician · Mission Viejo, CA

NPI number 1003055401 Active

Practice location

27700 Medical Center Road-Radiology Department
Mission Viejo, CA 92691-6426

Call (949) 364-7744 Map

Mailing address

Dept La 21789
Pasadena, CA 91185-1789

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XA114302 (CA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1003055401

Jackson W. Penry, MD's National Provider Identifier is 1003055401, issued on Feb 10, 2009. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Mission Viejo, CA. The record was last updated on Jul 29, 2014.