Mary Jo Gustin in Los Angeles - Rehabilitation
Mary Jo Gustin - NPI 1447365655
Mary Jo Gustin is a Rehabilitation in Los Angeles, California. Mary Jo Gustin practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Mary Jo Gustin is 1447365655. The last update date is 2015-09-03.
Mary Jo Gustin's current location address is 11710 Wilshire Blvd, Los Angeles, California. You can contact this provider via phone number 3108734422 and fax number 3108734434. The mailing address for Mary Jo Gustin is 11710 Wilshire Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jo Gustin |
|---|---|
| Address | 11710 Wilshire Blvd, Los Angeles, California |
| Phone Number | 3108734422 |
| Fax Number | 3108734434 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1447365655 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2015-09-03 |
Provider Mailing Address Detail
| Address | 11710 Wilshire Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900251503 |
| Phone Number | 3108734422 |
| Fax Number | 3108734434 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation |
|---|---|
| Taxonomy | 111Nr0400X |
| Licence No | 17484 |
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Definition: Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30251443 | NH | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mary Jo Gustin by the Centers for Medicare & Medicaid Services?
The Mary Jo Gustin has been issued the NPI (National Provider Identifier) 1447365655. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mary Jo Gustin's physical address?
The Mary Jo Gustin is physically located at 11710 Wilshire Blvd, in the city of Los Angeles, CA, with the postal code 900251503.
What is the area of specialization for Mary Jo Gustin, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary Jo Gustin is Rehabilitation, and the corresponding taxonomy code that categorizes this area of expertise is 111Nr0400X.
When did the Mary Jo Gustin receive its 1447365655?
The Mary Jo Gustin was issued its 1447365655 on 2006-08-20, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Mary Jo Gustin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary Jo Gustin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-09-03.