Individual
DR. BRUCE D GAUDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1950 S BREA CANYON RD, SUITE 6, DIAMOND BAR, CA 91765-4015
(909) 612-1060
(909) 612-1059
Mailing address
1950 S BREA CANYON RD, SUITE 6, DIAMOND BAR, CA 91765-4015
(909) 612-1060
(909) 612-1059
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC13914
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ78449Z
BCBS
CA
Enumeration date
03/14/2007
Last updated
02/03/2009
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