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

Miss. Chanthol Pen, FNP

Individual provider Family Nurse Practitioner · NPI 1649509134

Miss. Chanthol Pen, FNP is a Nurse Practitioner in Lancaster, California. Qualified in 2009, 17 years ago. Practices with County of Los Angeles, a 390-clinician group and accepts Medicare assignment. Licensed in California and Florida.

Years since qualifying
17
Licensed in
CA, FL
In the registry since
2009
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

822 E Avenue K
Lancaster, CA 93535-5938
Phone: (661) 579-9760
Fax: (661) 579-9765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 20656 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 9232475 (FL)

Record details

NPI number1649509134
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedDecember 14, 2009
Last updated in NPPESAugust 28, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice County Of Los Angeles — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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