PENNY L MAKABENTA

ST JOSEPH HERITAGE HEALTHCARE

Dr PENNY L MAKABENTA is a female medical professional, specializing in Physician Assistant. She graduated in 2005.

Contact

ST JOSEPH HERITAGE HEALTHCARE

8078 E SANTA ANA CANYON RD
ST JOSEPH HERITAGE HEALTHCARE
ANAHEIM HILLS
CA
928081108

Tel: 7149742900

PENNY L MAKABENTA Information

Npi 1245439157
Pac Id 2769667856
Professional Enrollment Id I20110505000427
Last Name MAKABENTA
First Name PENNY
Middle Name L
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2005
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ST JOSEPH HERITAGE HEALTHCARE
Group Practice Pac Id 8921993205
Number Of Group Practice Members 1091
Line 1 Street Address 8078 E SANTA ANA CANYON RD
Line 2 Street Address ST JOSEPH HERITAGE HEALTHCARE
Marker Of Address Line 2 Suppression
City ANAHEIM HILLS
State CA
Zip Code 928081108
Phone Number 7149742900
Hospital Affiliation Ccn 1 050168
Hospital Affiliation Lbn 1 ST JUDE MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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