Bustillo, Gerardo
Bustillo, Gerardo is an individual health care provider with primary practice located at 18035 Brookhurst Street Suite 2100, Fountain Valley CA 92708. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Bustillo, Gerardo can be contacted via phone (657) 241-9090.Contact Information
Primary practice address
18035 Brookhurst Street Suite 2100
Fountain Valley CA 92708
Phone: (657) 241-9090
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | G51357 | California |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | G51357 | California |
Profile Details
NPI number | 1972631786 |
---|---|
LBN Legal business name | Bustillo, Gerardo |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 1st, 2007 |
Last updated | Oct 13th, 2016 - about 8 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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