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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PENNY LANE MAKABENTA, PA

Active

PENNY LANE MAKABENTA, PA is a Physician Assistant healthcare provider located in FULLERTON, California. NPI 1245439157 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FULLERTON, CA

Registration Details

NPI Number
1245439157
Provider Type
Individual
Gender
Female
NPI Issued
Jul 12, 2007 (19.082990414556 yrs)
Last Updated
Jul 12, 2007
License
PA18214 (CA)

Practice Information

Address
2720 N HARBOR BLVD
SUITE 130
FULLERTON, CA, 928352609
Browse CA providers · Browse ZIP 92835
Phone
7144496230
Fax
7144491773
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in FULLERTON, CA

Name Credential NPI
MS. PEI-JING MA PA 1912989591
MS. KAREN MARIE TRABILCY PA-C 1982616868
ERICA AMBROZEVICIUS GOMEZ DMSC, MPAP, PA-C 1316044282
MELINDA SANCHEZ GARCIA PA 1437226263
QUINT SKIPTON P.A.-C 1043379985
SHANNON L CORNWELL PA 1902961626
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.