Lisa Anne Penny, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

79290 Issued in CA

Practice address

13160 Mindanao Way
#300
Marina del Rey, CA 90292-6358

Phone

(310) 990-9164

Fax

(310) 306-8018

NPI assigned

Dec 28, 2011

Last updated

Aug 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1134498777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 VIA MARINA",
            "address_2": "#501K",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925242",
            "telephone_number": "310-990-9164",
            "fax_number": "310-306-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY",
            "address_2": "#300",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926358",
            "telephone_number": "310-990-9164",
            "fax_number": "310-306-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNY",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-28",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "79290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul B Donzis MD Inc (Eye Institute of Marina del Rey)
• Mario E. Paz, D.D.S.
• Pchung Corporation (BrightStar Care of Santa Monica/Marina del Rey)
• Michael C Pelletier, BCOM, MBA
• Ignez Jansen Penna, M.D.
• Marvin Peredo
• Adriana Perez
• Christian Perez
• Justin Perez, M.D.
• Stephanie Imelda Perez, OTD, OTR/L

• Marriage & Family Therapist in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.