Individual provider · Type 1 NPI

Juan Carlos Pequeno, MD

Addiction Psychiatry Physician · Needles, CA

NPI number 1477537942 Active

Practice location

1600 Bailey Ave Ste 2
Needles, CA 92363-3105

Fax (760) 326-2864

Mailing address

303 E Vanderbilt Way
San Bernardino, CA 92415-0026

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800XAZ28640 (AZ)
Addiction Psychiatry Physician Primary 2084P0802XA61571 (CA)

Addiction Psychiatry Physician: Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.

6 other providers at this address

About NPI 1477537942

Juan Carlos Pequeno, MD's National Provider Identifier is 1477537942, issued on Nov 30, 2005. The primary taxonomy on file is Addiction Psychiatry Physician (2084P0802X), and the practice location is in Needles, CA. The record was last updated on Dec 21, 2020.