Bisuna, Blanca

Bisuna, Blanca is an individual health care provider with primary practice located at 1250 Peach Street Suite A, San Luis Obispo CA 93401-2837. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Bisuna, Blanca can be contacted via phone (805) 543-4043.

Contact Information

Primary practice address
1250 Peach Street Suite A San Luis Obispo CA 93401-2837
Fax: (805) 543-7640
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A125110 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A125110 California

Profile Details

NPI number 1508199431
LBN Legal business name Bisuna, Blanca
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2009
Last updated Oct 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508199431 NPPES
California Other CB234677 MEDICARE ID

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