Individual
JOHN CASTRO PESTANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
(831) 458-5521
Mailing address
2025 SOQUEL AVE., SANTA CRUZ, CA 95062-1323
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J4966
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127595003
—
TX
Enumeration date
05/05/2006
Last updated
01/04/2012
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