Jay Pennock is a Integrative Medicine in Capitola, California. Jay Pennock practices all healthcare services and medical treatments related to Integrative Medicine. The NPI Number for Jay Pennock is 1437152907. The last update date is 2022-12-14.
Jay Pennock's current location address is 1840 41st Ave # 102-325, Capitola, California. You can contact this provider via phone number 8313450652 and fax number 8882583926. The mailing address for Jay Pennock is 1840 41st Ave # 102-325, Capitola, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Pennock |
|---|---|
| Address | 1840 41st Ave # 102-325, Capitola, California |
| Phone Number | 8313450652 |
| Fax Number | 8882583926 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1437152907 |
|---|---|
| Provider Enumeration Date | 2005-05-27 |
| Last Updated Date | 2022-12-14 |
Provider Mailing Address Detail
| Address | 1840 41st Ave # 102-325 |
|---|---|
| City | Capitola |
| State | California (CA) |
| Post Code | 9501025130 |
| Phone Number | 8313450652 |
| Fax Number | 8882583926 |
Provider's Primary Taxonomy Detail
| Speciality | Integrative Medicine |
|---|---|
| Taxonomy | 202D00000X |
| Licence No | G77385 |
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Definition: A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease - including mind, body, and spirit. C |
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What is the unique 10-digit identification code issued to Jay Pennock by the Centers for Medicare & Medicaid Services?
The Jay Pennock has been assigned the NPI (National Provider Identifier) 1437152907 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Jay Pennock located?
The Jay Pennock is located at 1840 41St Ave # 102-325, Capitola, CA 9501025130.
What is Jay Pennock's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jay Pennock's specialized field of practice is Integrative Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 202D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1437152907 to Jay Pennock?
The Centers for Medicare & Medicaid Services originally issued the 1437152907 to Jay Pennock on 2005-05-27.
As of what date were the Jay Pennock's details last updated?
The information pertaining to the Jay Pennock, including its address, specialty, and other details, was most recently updated on 2022-12-14.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY