Bustamante, Jo-Anne
Bustamante, Jo-Anne is an individual health care provider with primary practice located at 1818 Verdugo Blvd Ste 304 , Glendale CA 91208-1444. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bustamante, Jo-Anne can be contacted via phone (818) 790-3588.Contact Information
Primary practice address
1818 Verdugo Blvd Ste 304
Glendale CA 91208-1444
Phone: (818) 790-3588
Fax: (818) 790-6518
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | PA16953 | California |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 16953 | California |
Profile Details
NPI number | 1700971611 |
---|---|
LBN Legal business name | Bustamante, Jo-Anne |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 4th, 2006 |
Last updated | Jan 24th, 2018 - about 6 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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