Individual provider · Type 1 NPI

Greg Gastaldo, MD

Clinic/Center · San Diego, CA

NPI number 1114102241 Active

Practice location

5500 Campanile Dr
San Diego, CA 92182-0001

Fax (619) 594-5613

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XG58872 (CA)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1114102241

Greg Gastaldo, MD's National Provider Identifier is 1114102241, issued on Jan 8, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in San Diego, CA. The record was last updated on Jan 8, 2008.