Individual
CHEIREL GUSTAVIS-PERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3655 LOMITA BLVD, SUITE 400, TORRANCE, CA 90505-3931
(310) 373-1042
(310) 378-4916
Mailing address
3050 E AIRPORT WAY, LONG BEACH, CA 90806-2404
(562) 426-9661
(562) 426-4227
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
6290
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN3770710
MEDI-CAL
CA
Enumeration date
10/13/2006
Last updated
07/08/2007
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