Charis Gaston's National Provider Identifier (NPI) Details
Charis Gaston,
NPI: 1144622101
Enumeration Date: 2014-09-22
Last updated: 2021-05-24
Sole Proprietor: NO
Status: active
Postal Address: 1301 PINE AVE, LONG BEACH, CA
Phone: 562-595-1159
Primary Practice Address: 1301 PINE AVE, LONG BEACH, CA
Practice's phone: 562-595-1159