Gustafson, George Allen

Gustafson, George Allen is an individual health care provider with primary practice located at 1901 West Lugonia Ave. Ste. 210 , Redlands CA 92374. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Other Service Providers / Specialist is his primary health care specialty. Gustafson, George Allen can be contacted via phone (909) 557-1600.

Contact Information

Primary practice address
1901 West Lugonia Ave. Ste. 210 Redlands CA 92374
Phone: (909) 557-1600
Fax: (909) 557-1740
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G24086 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G24086 California

Profile Details

NPI number 1851310825
LBN Legal business name Gustafson, George Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jan 2nd, 2015 - about 11 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.

Request for update

Popular Providers