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Contact Information

VINCENT P PENNISI, MD
1617 N CALIFORNIA ST.
SUITE 2-A
STOCKTON, CA95204
 Phone: 209-466-8546
 Fax: 209-466-3335
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for VINCENT P PENNISI · (Male)

NPI Number 1487653341
Status Active
Credentials MD
Entity Individual
Enumeration date 07/21/2005
Last updated 09/16/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G45259
  • CA Medicaid 00G452590
  • CA Other 1386636165 GROUP NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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