Provider Demographics
NPI:1720263155
Name:PINUELAS, DAVID Z
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:Z
Last Name:PINUELAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1822 JENSEN AVE, #102-104
Mailing Address - Street 2:
Mailing Address - City:SANGER
Mailing Address - State:CA
Mailing Address - Zip Code:93657-2210
Mailing Address - Country:US
Mailing Address - Phone:559-875-6300
Mailing Address - Fax:559-875-6094
Practice Address - Street 1:1822 JENSEN AVE. #102-104
Practice Address - Street 2:
Practice Address - City:SANGER
Practice Address - State:CA
Practice Address - Zip Code:93657-2210
Practice Address - Country:US
Practice Address - Phone:559-875-6300
Practice Address - Fax:559-875-6094
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-03
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty