Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Gustavo Reveles

Individual provider Rehabilitation Practitioner · NPI 1437886751

Mr. Gustavo Reveles is a Rehabilitation Practitioner in Northridge, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

9650 Zelzah Ave
Northridge, CA 91325-2003
Phone: (818) 993-9311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 111190 (CA)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1437886751
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 5, 2022
Last updated in NPPESOctober 27, 2022
Certification dateOctober 27, 2022

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