Organization
JAY PENNOCK MEDICAL DIRECTOR PC
Active
Organization
JAY PENNOCK MEDICAL DIRECTOR PC
Active
Other names
Rejuvenate Vitamin Shot and IV Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JAY PENNOCK MD (OWNER AND PRESIDENT)
(831) 345-0652
Entity
Organization
Contact information
Practice address
901 SOQUEL AVE STE A, SANTA CRUZ, CA 95062-2122
(831) 345-0652
Mailing address
1840 41ST AVE # 102-325, CAPITOLA, CA 95010-2513
(831) 345-0652
(888) 258-3926
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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