Individual
DR. MARY JO GUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
11710 WILSHIRE BLVD, LOS ANGELES, CA 90025-1503
(310) 873-4422
(310) 873-4434
Mailing address
11710 WILSHIRE BLVD, LOS ANGELES, CA 90025-1503
(310) 873-4422
(310) 873-4434
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
263-0796
NH
111NR0400X
Rehabilitation Chiropractor
Primary
17484
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30251443
—
NH
Enumeration date
08/20/2006
Last updated
09/03/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us