Gustavo Antonio Mondragon in Chula Vista - Family Medicine
Gustavo Antonio Mondragon - NPI 1770773434
Gustavo Antonio Mondragon is a Family Medicine in Chula Vista, California. Gustavo Antonio Mondragon practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gustavo Antonio Mondragon is 1770773434. The last update date is 2021-09-02.
Gustavo Antonio Mondragon's current location address is 480 Fourth Avenue, Chula Vista, California. You can contact this provider via phone number 6196565252 and fax number 6196565250. The mailing address for Gustavo Antonio Mondragon is 480 Fourth Avenue, Chula Vista, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gustavo Antonio Mondragon |
|---|---|
| Address | 480 Fourth Avenue, Chula Vista, California |
| Phone Number | 6196565252 |
| Fax Number | 6196565250 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1770773434 |
|---|---|
| Provider Enumeration Date | 2007-07-30 |
| Last Updated Date | 2021-09-02 |
Provider Mailing Address Detail
| Address | 480 Fourth Avenue |
|---|---|
| City | Chula Vista |
| State | California (CA) |
| Post Code | 919104414 |
| Phone Number | 6196565252 |
| Fax Number | 6196565250 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | A112588 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gustavo Antonio Mondragon by the Centers for Medicare & Medicaid Services?
The Gustavo Antonio Mondragon has been assigned the NPI (National Provider Identifier) 1770773434 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Gustavo Antonio Mondragon's facilities are geographically located?
The facilities of Gustavo Antonio Mondragon are physically situated at the following location: 480 Fourth Avenue, Chula Vista, CA, 919104414.
What is Gustavo Antonio Mondragon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gustavo Antonio Mondragon is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770773434 to Gustavo Antonio Mondragon?
The Centers for Medicare & Medicaid Services originally issued the 1770773434 to Gustavo Antonio Mondragon on 2007-07-30.
When was the information related to Gustavo Antonio Mondragon most recently updated or refreshed?
The details pertaining to the Gustavo Antonio Mondragon, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-09-02.