Individual
DR. JUAN CARLOS PEQUENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 BAILEY AVE STE 2, NEEDLES, CA 92363-3105
(760) 326-9313
(760) 326-2864
Mailing address
303 E VANDERBILT WAY, SAN BERNARDINO, CA 92415-0026
(909) 388-0806
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
AZ28640
AZ
2084P0802X
Addiction Psychiatry Physician
Primary
A61571
CA
Other
Enumeration date
11/30/2005
Last updated
12/21/2020
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