Healthcare Provider Details

I. General information

NPI: 1841012374
Provider Name (Legal Business Name): JUSTE MEDICAL A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2024
Last Update Date: 10/28/2024
Certification Date: 10/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9676 LAS TUNAS DR STE B
TEMPLE CITY CA
91780-2160
US

IV. Provider business mailing address

9676 LAS TUNAS DR STE B
TEMPLE CITY CA
91780-2160
US

V. Phone/Fax

Practice location:
  • Phone: 626-287-6513
  • Fax: 626-287-6497
Mailing address:
  • Phone: 626-287-6513
  • Fax: 626-287-6497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: FRANCK JUSTE
Title or Position: ONWER
Credential: MD
Phone: 760-550-5980