Search › California › 171100000X
Bruce Gustafson, LAC
NPI 1588113096 · on the registry since 2016 · sole proprietor
Practice
- Address
- 3218 18th St
Santa Monica, CA 90405 - Phone
- (310) 399-1040
- Fax
- (866) 508-1580
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California