Individual
DR. JOHN JAUREGUITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39180 FARWELL DR, SUITE 110, FREMONT, CA 94538-1052
(510) 739-6520
(510) 739-6522
Mailing address
39180 FARWELL DR, SUITE 110, FREMONT, CA 94538-1052
(510) 739-6520
(510) 739-6522
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G081317
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0089060
—
CA
01
—
ZZZ00577Z
BLUE SHIELD GROUP NUMBER
CA
01
—
ZZZ18646Z
MEDICARE GROUP NUMBER
CA
Enumeration date
02/28/2007
Last updated
01/07/2013
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