Provider Demographics
NPI:1508393323
Name:ERIN GATTUSO
Entity Type:Organization
Organization Name:ERIN GATTUSO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATUROPATHIC DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GATTUSO
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:814-973-4597
Mailing Address - Street 1:PO BOX 60085
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92166-8085
Mailing Address - Country:US
Mailing Address - Phone:814-937-4597
Mailing Address - Fax:
Practice Address - Street 1:2790 TRUXTUN RD
Practice Address - Street 2:SUITE 120A
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92106-6135
Practice Address - Country:US
Practice Address - Phone:814-937-4597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND895175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty