Gustavo Nino is a Sports Physician in Alhambra, California. Gustavo Nino practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Gustavo Nino is 1568685915. The last update date is 2007-07-08.
Gustavo Nino's current location address is 41 N Garfield Ave, Alhambra, California. You can contact this provider via phone number 6264582339 and fax number 6264581429. The mailing address for Gustavo Nino is 41 N Garfield Ave, Alhambra, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gustavo Nino |
|---|---|
| Address | 41 N Garfield Ave, Alhambra, California |
| Phone Number | 6264582339 |
| Fax Number | 6264581429 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1568685915 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 41 N Garfield Ave |
|---|---|
| City | Alhambra |
| State | California (CA) |
| Post Code | 918013556 |
| Phone Number | 6264582339 |
| Fax Number | 6264581429 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | DC21763 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the unique identifier code issued to Gustavo Nino by the Centers for Medicare & Medicaid Services (CMS)?
The Gustavo Nino has been assigned the NPI (National Provider Identifier) 1568685915. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Gustavo Nino?
The Gustavo Nino is physically situated at 41 N Garfield Ave, in the city of Alhambra, state of CA, with the postal code 918013556.
What is Gustavo Nino's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gustavo Nino is Sports Physician, and the corresponding taxonomy classification code for this specialized field is 111Ns0005X.
On what date did the Gustavo Nino receive its 1568685915 assignment from the Centers for Medicare & Medicaid Services?
The Gustavo Nino was assigned its 1568685915 by the Centers for Medicare & Medicaid Services on 2007-04-11.
As of what date were the Gustavo Nino's details last updated?
The information pertaining to the Gustavo Nino, including its address, specialty, and other details, was most recently updated on 2007-07-08.