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Mark S Penner, DO
Emergency Medicine Physician in San Jose, California
NPI 1689602500

Mark S Penner is a Emergency Medicine Physician based in Woodland Hills, CA. Mark S Penner practices in San Jose, CA and has the professional credentials of DO. The NPI Number for Mark S Penner is 1689602500 and holds a License No. 20A8037 (California).

The current practice location address for Mark S Penner is 2105 Forest Ave, San Jose, CA and can be reached out via phone at 408-947-2500 and via fax at 818-587-2493.

Location: 2105 Forest Ave, San Jose, CA, 91365-4419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689602500
Provider Name
Mark S Penner
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2105 Forest Ave, San Jose, CA, 91365-4419
Phone Number
408-947-2500
Fax Number
818-587-2493
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00AX80370 05 CA
P00273019 01 CA RAILROAD MEDICARE
020A80370 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2105 Forest Ave
City
San Jose
State
California
Zip
95128-1425
Phone Number
408-947-2500
Fax Number
818-587-2493
person
Provider Business Mailing Address Details
Address
2105 Forest Ave
City
San Jose
State
California
Zip
95128-1425
Phone Number
408-947-2500
Fax Number
818-587-2493
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
20A8037 (California)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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