| Dr Anna M Pennino, OD | |
|
8511 Pershing Dr, Playa Del Rey, CA 90293-8101 | |
| (310) 577-6401 | |
| (310) 577-6403 |
| Full Name | Dr Anna M Pennino |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 35 Years |
| Location | 8511 Pershing Dr, Playa Del Rey, California |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962495408 | NPI | - | NPPES |
| SD0099960 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 9996 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anna M Pennino Od Optometric Corp | 2769546019 | 2 |
| Golden Ardaya And Lin Optometry Inc | 2961667399 | 13 |
| Monarch Bay Optometry, Inc. | 5193152510 | 3 |
| Provider Name | South Gate Optometry Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154514370 PECOS PAC ID: 1759467384 Enrollment ID: O20080324000614 |
| Provider Name | Anna M Pennino Od Optometric Corp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356589741 PECOS PAC ID: 2769546019 Enrollment ID: O20090130000496 |
| Provider Name | Golden Ardaya & Lin Optometry Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962764340 PECOS PAC ID: 2961667399 Enrollment ID: O20120709000716 |
| Provider Name | Monarch Bay Optometry, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710538343 PECOS PAC ID: 5193152510 Enrollment ID: O20200225001678 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anna M Pennino, OD 8511 Pershing Dr, Playa Del Rey, CA 90293-8101 Ph: (562) 434-4829 | Dr Anna M Pennino, OD 8511 Pershing Dr, Playa Del Rey, CA 90293-8101 Ph: (310) 577-6401 |
Anna M Pennino Od Optometric Corp Optometrist Medicare: Medicare Enrolled Practice Location: 8511 Pershing Dr, Playa Del Rey, CA 90293 Phone: 310-577-6401 Fax: 310-577-6403 |