Gustafson, John Charles

Gustafson, John Charles is an individual health care provider with primary practice located at 2795 Loma Vista Rd , Ventura CA 93003-1544. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Gustafson, John Charles can be contacted via phone (805) 643-8695.

Contact Information

Primary practice address
2795 Loma Vista Rd Ventura CA 93003-1544
Phone: (805) 643-8695
Fax: (805) 643-2087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G36782 California

Profile Details

NPI number 1003836016
LBN Legal business name Gustafson, John Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 9th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003836016 NPPES
California MEDICAID RHM08608F
California MEDICAID ZZZ82842Z
California MEDICAID RHM08609F
California Other 050394
California MEDICAID RHM18553H
California MEDICAID ZZT40394F
California Other 951683892
California Other 953152550

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