Provider Demographics
NPI:1871654160
Name:PASTOR, MARIA TERESA GALARPE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA TERESA
Middle Name:GALARPE
Last Name:PASTOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:TERESA
Other - Last Name:PASTOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1703 TERMINO AVE. SUITE 206
Mailing Address - Street 2:206
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804
Mailing Address - Country:US
Mailing Address - Phone:562-961-0210
Mailing Address - Fax:562-961-0212
Practice Address - Street 1:1703 TERMINO AVE. SUITE 206
Practice Address - Street 2:206
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804
Practice Address - Country:US
Practice Address - Phone:562-961-0210
Practice Address - Fax:562-961-0212
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA46377261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A463771Medicaid