Pastrana, Theodore B.

Pastrana, Theodore B. is an individual health care provider with primary practice located at 100 E Valencia Mesa Dr Ste 100, Fullerton CA 92835-3813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pastrana, Theodore B. can be contacted via phone (714) 525-4185.

Contact Information

Primary practice address
100 E Valencia Mesa Dr Ste 100 Fullerton CA 92835-3813
Phone: (714) 525-4185
Fax: (714) 525-7321
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G75374 California

Profile Details

NPI number 1992747653
LBN Legal business name Pastrana, Theodore B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Apr 25th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992747653 NPPES
California Other 00G753470 MEDI-CAL
California MEDICAID 00G753470 MEDI-CAL

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