Jay Pennock, MD a Professional Corporation
NPI #1114016789 in Capitola, California
Provider Information
- NPI Number
- 1114016789
- Entity Type
- Organization
- Organization Name
- Jay Pennock, MD a Professional Corporation
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Oct 12, 2006
- Last Updated
- May 19, 2025
Practice Location
- Address
- 1595 38TH AVE
- City
- Capitola
- State
- California
- ZIP Code
- 95010-2901
- Phone
- (831) 226-2108
Authorized Official
- Name
- JAY PENNOCK, MD
- Title
- OWNER AND PRESIDENT
- Phone
- (831) 226-2108
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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