Individual
DUSTIN BRYCE GOTTFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
28078 BAXTER RD STE 530, MURRIETA, CA 92563-1405
(310) 709-1490
Mailing address
48 57TH PL, LONG BEACH, CA 90803-4414
(310) 709-1490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
59175
CA
Other
Enumeration date
10/31/2019
Last updated
09/22/2021
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