Individual
GREG GASTALDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5500 CAMPANILE DR, SAN DIEGO, CA 92182-0001
(619) 594-2866
(619) 594-5613
Mailing address
5500 CAMPANILE DR, SAN DIEGO, CA 92182-0001
(619) 594-2866
(619) 594-5613
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
G58872
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G588720
—
CA
Enumeration date
01/08/2008
Last updated
01/08/2008
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