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Justin Alexander Pegueros, MD
Family Medicine Physician in La Verne, California
NPI 1427546738

Justin Alexander Pegueros is a Family Medicine Physician based in La Verne, CA. Justin Alexander Pegueros practices in La Verne, CA and has the professional credentials of MD. The NPI Number for Justin Alexander Pegueros is 1427546738 and holds a License No. (California).

The current practice location address for Justin Alexander Pegueros is 2333 Foothill Blvd Ste B, La Verne, CA and can be reached out via phone at 909-392-6501 and via fax at 909-469-2136.

Location: 2333 Foothill Blvd Ste B, La Verne, CA, 91750-3027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427546738
Provider Name
Justin Alexander Pegueros
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2333 Foothill Blvd Ste B, La Verne, CA, 91750-3027
Phone Number
909-392-6501
Fax Number
909-469-2136
Provider Enumeration Date
04/23/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1427546738 05 CA
institution
Provider Business Practice Location Address Details
Address
2333 Foothill Blvd Ste B
City
La Verne
State
California
Zip
91750-3027
Phone Number
909-392-6501
Fax Number
909-469-2136
person
Provider Business Mailing Address Details
Address
2333 Foothill Blvd Ste B
City
La Verne
State
California
Zip
91750-3027
Phone Number
909-392-6501
Fax Number
909-469-2136
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
A165167 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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