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Greg Gastaldo, MD
Clinic/Center in San Diego, California
NPI 1114102241

Greg Gastaldo is a Clinic/Center based in San Diego, CA. Greg Gastaldo practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Greg Gastaldo is 1114102241 and holds a License No. G58872 (California).

The current practice location address for Greg Gastaldo is 5500 Campanile Dr, San Diego, CA and can be reached out via phone at 619-594-2866 and via fax at 619-594-5613.

Location: 5500 Campanile Dr, San Diego, CA, 92182-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114102241
Provider Name
Greg Gastaldo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5500 Campanile Dr, San Diego, CA, 92182-0001
Phone Number
619-594-2866
Fax Number
619-594-5613
Provider Enumeration Date
01/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G588720 05 CA
institution
Provider Business Practice Location Address Details
Address
5500 Campanile Dr
City
San Diego
State
California
Zip
92182-0001
Phone Number
619-594-2866
Fax Number
619-594-5613
person
Provider Business Mailing Address Details
Address
5500 Campanile Dr
City
San Diego
State
California
Zip
92182-0001
Phone Number
619-594-2866
Fax Number
619-594-5613
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
G58872 (California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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