GUSTAVO A MONDRAGON MD A MEDICAL CORPORATION NPI 1538670930

NPI Information

  • NPI: 1538670930
  • Provider Name: GUSTAVO A MONDRAGON MD A MEDICAL CORPORATION
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Address: 480 FOURTH AVE STE 500
    CHULA VISTA, CA
    ZIP 91910
  • Phone: (619) 656-5252

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NPI Details

GUSTAVO A MONDRAGON MD A MEDICAL CORPORATION is a cardiovascular disease internal medicine in Chula Vista, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. GUSTAVO A MONDRAGON MD A MEDICAL CORPORATION NPI is 1538670930. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

480 FOURTH AVE STE 500
CHULA VISTA, CA
ZIP 91910-414
Phone: (619) 656-5252

The provider's authorized official is Gustavo Arturo Mondragon .
The authorized official title is President and has the following contact phone number (619) 656-5252.

The enumeration date for this NPI number is 10/12/2017 and was last updated on 10/12/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseA40640CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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