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Individual

CHRISTOPHER JOSEPH GUALTIERI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3969 4TH AVE, SUITE 300, SAN DIEGO, CA 92103-3165
(619) 688-2648
(619) 688-2626
Mailing address
3969 FOURTH AVENUE, SUITE 300, SAN DIEGO, CA 92103-3165
(619) 688-2648
(619) 688-2626

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G73020
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G730200
CA
05
7398036
CA
01
G73020
CALIF STATE LICENSE
CA
Enumeration date
11/30/2005
Last updated
03/07/2023
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