Individual
GARRETT PENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4130 LA JOLLA VILLAGE DR STE 300, LA JOLLA, CA 92037-1481
(858) 455-6800
Mailing address
4130 LA JOLLA VILLAGE DR STE 300, LA JOLLA, CA 92037-1481
(858) 455-6800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34482
CA
Other
Enumeration date
06/02/2017
Last updated
01/10/2024
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