Gastaldo, Greg
Gastaldo, Greg is an sole proprietor health care provider with primary practice located at 5500 Campanile Dr , San Diego CA 92182-0001. He recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as his primary health care specialty. Gastaldo, Greg can be contacted via phone (619) 594-2866.Contact Information
Primary practice address
5500 Campanile Dr
San Diego CA 92182-0001
Phone: (619) 594-2866
Fax: (619) 594-5613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | G58872 | California |
Profile Details
| NPI number | 1114102241 |
|---|---|
| LBN Legal business name | Gastaldo, Greg |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2008 |
| Last updated | Jan 8th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114102241 | NPPES |
| California | MEDICAID | 00G588720 |
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