Bustamante, Issac Manuel

Bustamante, Issac Manuel is an individual health care provider with primary practice located at 1664 Broadway , El Cajon CA 92021-5201. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Bustamante, Issac Manuel can be contacted via phone (619) 579-8685.

Contact Information

Primary practice address
1664 Broadway El Cajon CA 92021-5201
Phone: (619) 579-8685
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X California
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1912558123
LBN Legal business name Bustamante, Issac Manuel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2019
Last updated Jul 11th, 2023 - about last year

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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