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Search › California › 207R00000X

Dominic Pennisi, M.D

NPI 1548703036 · on the registry since 2016 · sole proprietor

Practice

Address
832 S Fairmont Ave
Lodi, CA 95240
Phone
(209) 365-9331
Fax
(209) 365-9359
Organisation at this address
Towns Health Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-02-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California