Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. COREY GERALD GUSTAFSON, D.O.
ActiveDR. COREY GERALD GUSTAFSON, D.O. is a Emergency Medicine healthcare provider located in FALLBROOK, California. NPI 1912982620 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · FALLBROOK, CA
Registration Details
- NPI Number
- 1912982620
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 14, 2005 (20.487331361345 yrs)
- Last Updated
- Sep 18, 2015
- Licenses
-
20A13551 (CA)0102201624 (VA)
Practice Information
- Address
-
4067 LADERA VISTA RDFALLBROOK, CA, 920289433Browse CA providers · Browse ZIP 92028
- Phone
- 7575135594
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Emergency Medicine
Other Emergency Medicine Providers in FALLBROOK, CA
| Name | Credential | NPI |
|---|---|---|
| DR. GRAYDON W SKEOCH | MD | 1558327387 |
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.