Individual
GERMAN PUSTOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
2870 KAISER DR APT 302, SANTA CLARA, CA 95051-7517
(646) 637-6521
Mailing address
2870 KAISER DR APT 302, SANTA CLARA, CA 95051-7517
(646) 637-6521
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95298784
CA
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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