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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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