Organization
JAY PENNOCK, MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY PENNOCK MD (OWNER AND PRESIDENT)
(831) 226-2108
Entity
Organization
Contact information
Practice address
1595 38TH AVE, CAPITOLA, CA 95010-2901
(831) 226-2108
Mailing address
1840 41ST AVE STE 102-325, CAPITOLA, CA 95010-2513
(831) 345-0652
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2006
Last updated
05/19/2025
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