Bustamante, Daniel

Bustamante, Daniel is an individual health care provider with primary practice located at 5628 E Slauson Ave , Commerce CA 90040-2922. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Bustamante, Daniel can be contacted via phone (323) 318-9960.

Contact Information

Primary practice address
5628 E Slauson Ave Commerce CA 90040-2922
Phone: (323) 318-9960
Fax: (323) 780-3211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1982976619
LBN Legal business name Bustamante, Daniel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2012
Last updated Sep 11th, 2014 - about 11 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 1982976619 NPPES
California Other 95-2633765 MEDI-CAL

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