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KIMBERLY DIANNE PENILLA
NPI 1639566482
Student in an Organized Health Care Education/Training Program in Anaheim, CA

Active since April 20, 2015
109 S BARBARA ST, ANAHEIM, CA 92806(714) 504-5084 Get Directions Write a Review

NPPES record last updated: April 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Dianne Penilla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY DIANNE PENILLA (NPI 1639566482) is an individual student in an organized health care education/training program in Anaheim, California and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1639566482
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKIMBERLY DIANNE PENILLA
Location Address109 S BARBARA STAnaheim, CA 92806-3825
Mailing Address109 S Barbara StAnaheim, CA 92806-3825 · (714) 504-5084
Phone(714) 504-5084
Sole ProprietorYes
Enumeration DateApril 20, 2015
✔ NPI 1639566482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
109 S BARBARA ST, Anaheim, CA 92806
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Penilla's NPI number?

The NPI number for Kimberly Penilla is 1639566482. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Where is Kimberly Penilla located?

Kimberly Penilla practices at 109 S Barbara St, Anaheim, CA 92806. The listed phone number is (714) 504-5084.

What is Kimberly Penilla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kimberly Penilla was last updated on April 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.