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NPI Code Detail

MEDICARE: BRIANNA YESENNIA PENIDO

MEDICARE: BRIANNA YESENNIA PENIDO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker150117561IL

General Provider Information

NPI Number : 1194610865
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANNA YESENNIA PENIDO
Provider Business Mailing Address
First Line : PO BOX 1011
Second Line :
City : SIERRA MADRE
State : CA
Zip : 91025-4011
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5901 E 7TH ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90822-5201
Country : US
Telephone Number : 562-826-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2025
Last Update Date : 04/07/2026

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Directions to “ BRIANNA YESENNIA PENIDO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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