Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK L GUCCIONE, M.D., MPH
Active Sole ProprietorDR. JACK L GUCCIONE, M.D., MPH is a Specialist healthcare provider located in FORTUNA, California. NPI 1174529010 is currently active in the NPPES registry. Verify at CMS.
Specialist · FORTUNA, CA
Registration Details
- NPI Number
- 1174529010
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2005 (20.959163812079 yrs)
- Last Updated
- Oct 25, 2007
- License
-
G66333 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2404 NEWBURG RDFORTUNA, CA, 955402818Browse CA providers · Browse ZIP 95540
- Phone
- 7077258770
- Fax
- 7077258773
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in FORTUNA, CA
| Name | Credential | NPI |
|---|---|---|
| GALEN WAYNE PETTEY | PHYSICAL THERAPIST | 1770513657 |
| DR. ERIKA NMI ROSENBERG | M.D. | 1639275886 |
| DR. JAMES JOHN KILLFOIL | M.D. | 1790881951 |
| JOHN MOGEL | M.D. | 1952433922 |
| AIYANA B. MEADOWS | PT | 1285818997 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.