Juan Carlos Pequeno, MD Valid NPI

Individual provider · Addiction Psychiatry Physician · Needles, CA

NPI

1477537942

Type

Individual (Type 1)

Primary specialty

Addiction Psychiatry Physician (Psychiatry & Neurology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2084P0802X

License number

A61571 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2005-11-30

Last updated

2020-12-21