Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey Penta

Individual provider Religious Nonmedical Practitioner · NPI 1013807809

Jeffrey Penta is a Religious Nonmedical Practitioner in LA Mesa, California. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

5755 Yorkshire Ave
LA Mesa, CA 91942-2816
Phone: (619) 307-1607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Religious Nonmedical Practitioner (primary) Taxonomy 374K00000X

Record details

NPI number1013807809
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 3, 2025
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025
Mailing address5755 Yorkshire Ave, La Mesa, CA 91942-2816

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