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
| Taxonomy | Code | License |
|---|---|---|
| Religious Nonmedical Practitioner Primary | 374K00000X | None 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.