Most Relevant Information
Provider Data
| NPI Number: | 1003836016 |
| Provider Name: | JOHN CHARLES GUSTAFSON M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207V00000X |
| Specialty: | Obstetrics & Gynecology |
| License Number: | G36782 |
Most Important Dates
| Enumeration Date: | 07/20/2006 |
| Last Updated: | 07/09/2007 |
Provider Practice Location
2795 LOMA VISTA RD
VENTURA
CA
930031544
Practice Location Phone/Fax
| Phone: | 8056438695 |
| Fax: | 8056432087 |
Provider Mailing Location
2795 LOMA VISTA RD
VENTURA
CA
930031544
Provider Mailing Phone/Fax
| Phone: | 8056438695 |
| Fax: | 8056432087 |
Suggested EMR
OBGYN EMR