Gustavo Arturo Mondragon, M.D.
Internal Medicine, Cardiovascular Disease in Chula Vista, CA. Individual provider (NPI-1).
NPI number1619080041
StatusActive
Last updated in NPPESAug 26, 2021
Details
- NPI
- 1619080041
- Entity type
- Individual (NPI-1)
- Name
- Gustavo Arturo Mondragon
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 17, 2006
- Certification date
- Aug 26, 2021
- Last updated
- Aug 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | A40640 | CA | Yes |
Practice location
480 Fourth Ave Ste 500Chula Vista, CA 91910-4414
Phone 619-656-5252 · Fax 619-656-5250
Mailing address
480 Fourth Ave Ste 500Chula Vista, CA 91910-4414
Phone 619-656-5252 · Fax 619-656-5250
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