Individual
GUSTAVO MIGUEL BIANCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1212 S FLOWER ST, LOS ANGELES, CA 90015-2178
(213) 747-0634
(213) 747-5304
Mailing address
1212 S FLOWER ST, LOS ANGELES, CA 90015-2178
(213) 747-0634
(213) 747-5304
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
26681
CA
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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