Individual
GARY CRISANTO GUALBERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6010 HIDDEN VALLEY RD STE 200, CARLSBAD, CA 92011-4219
(760) 631-3000
(760) 270-9534
Mailing address
6010 HIDDEN VALLEY RD STE 200, CARLSBAD, CA 92011-4219
(760) 631-3000
(760) 270-9534
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
C138319
CA
2084E0001X
Epilepsy Physician
C138319
CA
2084N0400X
Neurology Physician
Primary
C138319
CA
208M00000X
Hospitalist Physician
C138319
CA
Other
Enumeration date
05/29/2007
Last updated
09/10/2025
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