Individual provider · Type 1 NPI

Jeffrey Penta

Religious Nonmedical Practitioner · La Mesa, CA

NPI number 1013807809 Active

Practice location

5755 Yorkshire Ave
La Mesa, CA 91942-2816

Specialties and licenses

TaxonomyCodeLicense
Religious Nonmedical Practitioner Primary 374K00000XNone listed

Religious Nonmedical Practitioner: A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.

About NPI 1013807809

Jeffrey Penta's National Provider Identifier is 1013807809, issued on Jul 3, 2025. The primary taxonomy on file is Religious Nonmedical Practitioner (374K00000X), and the practice location is in La Mesa, CA. The record was last updated on Jul 3, 2025.