Wong, Gustavo C.

Wong, Gustavo C. is an sole proprietor health care provider with primary practice located at 1515 N Sunrise Way , Palm Springs CA 92262. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Wong, Gustavo C. can be contacted via phone (800) 720-9553.

Contact Information

Primary practice address
1515 N Sunrise Way Palm Springs CA 92262
Phone: (800) 720-9553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1134139629
LBN Legal business name Wong, Gustavo C.
Credentials RDN, CDE, EP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Jun 12th, 2018 - about 7 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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