| Pennisi Medical Group | |
|
1805 N California St Ste 406 Stockton CA 95204-6033 | |
| (209) 277-7806 | |
| (209) 851-3853 |
| Full Name | Pennisi Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1805 N California St Ste 406, Stockton, California |
| Authorized Official Name and Position | Dominic Pennisi (OWNER) |
| Authorized Official Contact | 2092777806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennisi Medical Group 1805 N California St Ste 406 Stockton CA 95204-6033 Ph: (209) 277-7806 | Pennisi Medical Group 1805 N California St Ste 406 Stockton CA 95204-6033 Ph: (209) 277-7806 |
| NPI Number | 1043172760 |
|---|---|
| Provider Enumeration Date | 12/01/2025 |
| Last Update Date | 12/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043172760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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