Organization
THEODORE PASTRANA MD., APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE B. PASTRANA JR. M.D. (PRESIDENT)
(714) 525-4185
Entity
Organization
Contact information
Practice address
100 E VALENCIA MESA DR, STE. 100, FULLERTON, CA 92835-3813
(714) 525-4185
(714) 525-7321
Mailing address
100 E VALENCIA MESA DR, STE. 100, FULLERTON, CA 92835-3813
(714) 525-4185
(714) 525-7321
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
G75347
CA
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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