Individual provider · Type 1 NPI

Andrew Tennant Pennock, MD

Orthopaedic Surgery Physician · San Diego, CA

NPI number 1619151685 Active

Practice location

3030 Childrens Way, Ste 410
San Diego, CA 92123-4232

Call (858) 966-6789 Map

Fax (858) 966-8519

Mailing address

3860 Calle Fortunada, Ste #210
San Diego, CT 92123-4802

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician Primary 207X00000XA90049 (CA)

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1619151685

Andrew Tennant Pennock, MD's National Provider Identifier is 1619151685, issued on Dec 26, 2007. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in San Diego, CA. The record was last updated on Nov 2, 2011.