Individual
JAY PENNOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1595 38TH AVE, CAPITOLA, CA 95010-2901
(831) 226-2108
(888) 258-3926
Mailing address
1840 41ST AVE # 102-325, CAPITOLA, CA 95010-2513
(831) 345-0652
(888) 258-3926
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
G77385
CA
Other
Enumeration date
05/27/2005
Last updated
09/10/2025
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