Individual
CHRISTIAN J. GASTELUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 E CESAR E CHAVEZ AVE STE 3300, LOS ANGELES, CA 90033-2469
(323) 307-8900
(323) 881-8864
Mailing address
PO BOX 51741, LOS ANGELES, CA 90051-6041
(323) 307-8900
(323) 881-8864
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A74589
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A74589
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A745890
—
CA
Enumeration date
01/08/2007
Last updated
12/29/2011
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