Dr. Mary Jo Gustin is a Los Angeles, California based female chiropractor who is specialized as General Chiropractor. Active license number of Dr. Mary Jo Gustin as Rehabilitation Chiropractor is 17484 in California. Dr. Mary Jo Gustin is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Mary Jo Gustin speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Gender:
Female
Practice Address:
11710 Wilshire Blvd, Los Angeles, California, 90025-1503
Phone:
310-873-4422
Fax:
310-873-4434
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1447365655
NPI Enumeration Date:
20 Aug, 2006
NPI Last Update On:
03 Sep, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mary Jo Gustin are as mentioned below.
License Number
Specialization
State
Status
17484
Chiropractor - Rehabilitation
California
Primary
263-0796
General Chiropractor
New Hampshire
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mary Jo Gustin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
30251443
Medicaid
New Hampshire
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
11710 Wilshire Blvd, Los Angeles, California
Zip:
90025-1503
Phone Number:
310-873-4422
Fax Number:
310-873-4434
Patients can reach Dr. Mary Jo Gustin at 11710 Wilshire Blvd, Los Angeles, California or can call to book an appointment on 310-873-4422. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.