Dr. Gustavo Calleros, MD
Family Medicine in Pasadena, CA. Individual provider (NPI-1).
NPI number1346358827
StatusActive
Last updated in NPPESDec 29, 2010
Details
- NPI
- 1346358827
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gustavo Calleros
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 26, 2006
- Last updated
- Dec 29, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | a74210 | CA | Yes |
Practice location
50 Bellefontaine StSuite 401
Pasadena, CA 91105-3132
Phone 626-793-1931 · Fax 626-793-0161
Mailing address
1217 W Whittier BlvdMontebello, CA 90640-4642
Phone 323-728-6070 · Fax 323-728-2912
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