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Search › California › 103TC0700X

Carissa Gustafson

NPI 1871996694 · on the registry since 2014 · sole proprietor

Practice

Address
26565 Agoura Rd Ste 200
Calabasas, CA 91302
Phone
(310) 692-4115
Organisation at this address
Shaka Surf Club
Remedy Wellness Llc
Ninva E Baba Msn Aprn Pmhnp-Bc Nursing Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California