Search › California › 207P00000X
Corey Gustafson, D.O
NPI 1912982620 · on the registry since 2005
Practice
- Address
- 4067 Ladera Vista Rd
Fallbrook, CA 92028 - Phone
- (757) 513-5594
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207P00000X
- Licence states on file
- CA, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-09-18
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