Individual provider · Type 1 NPI

Jerrold Lee Penso, MD

Family Medicine Physician · San Diego, CA

NPI number 1336187079 Active

Practice location

2001 4th Ave
San Diego, CA 92101-2303

Call (619) 446-1638 Map

Fax (619) 696-1579

Mailing address

1102 Neptune Ave
Encinitas, CA 92024-1427

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XG67126 (CA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1336187079

Jerrold Lee Penso, MD's National Provider Identifier is 1336187079, issued on Jun 3, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in San Diego, CA. The record was last updated on Jul 13, 2026.