Individual provider · Type 1 NPI

Kimberly Dianne Penilla

Student in an Organized Health Care Education/Training Program · Anaheim, CA

NPI number 1639566482 Active

Practice location

109 S Barbara St
Anaheim, CA 92806-3825

Call (714) 504-5084 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1639566482

Kimberly Dianne Penilla's National Provider Identifier is 1639566482, issued on Apr 20, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Anaheim, CA. The record was last updated on Apr 20, 2015.