Gustafson, Randall Lee

Gustafson, Randall Lee is an individual health care provider with primary practice located at 7510 Clairemont Mesa Blvd #103, San Diego CA 92111. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gustafson, Randall Lee can be contacted via phone (858) 277-2277.

Contact Information

Primary practice address
7510 Clairemont Mesa Blvd #103 San Diego CA 92111
Phone: (858) 277-2277
Fax: (858) 277-7358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT11826 California

Profile Details

NPI number 1275518946
LBN Legal business name Gustafson, Randall Lee
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jul 13th, 2026 - about 3 months 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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