Gaudino, Bruce D

Gaudino, Bruce D is an individual health care provider with primary practice located at 1950 S Brea Canyon Rd Suite 6, Diamond Bar CA 91765-4015. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gaudino, Bruce D can be contacted via phone (909) 612-1060.

Contact Information

Primary practice address
1950 S Brea Canyon Rd Suite 6 Diamond Bar CA 91765-4015
Phone: (909) 612-1060
Fax: (909) 612-1059
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC13914 California

Profile Details

NPI number 1972637056
LBN Legal business name Gaudino, Bruce D
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Feb 3rd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972637056 NPPES
California Other ZZZ78449Z BCBS

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