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Individual

DR. JUAN A DE HOYOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5776 STONERIDGE MALL RD STE 300, PLEASANTON, CA 94588-4522
(925) 556-6274
(925) 556-0485
Mailing address
3835 N FREEWAY BLVD STE 100, SACRAMENTO, CA 95834-1954
(916) 576-7900
(916) 285-0338

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G87714
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G877140
CA
01
ZZZ91891Z
MEDICARE GROUP ID#
CA
01
ZZZ91892Z
MEDICARE GROUP ID#
CA
01
ZZZ92069Z
MEDICARE GROUP ID#
CA
01
ZZZ92073Z
MEDICARE GROUP ID#
CA
Enumeration date
06/12/2006
Last updated
03/23/2018
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