Bustos, Jerrold C

Bustos, Jerrold C is an individual health care provider with primary practice located at 830 S. Citrus Avenue Suite #201, Azusa CA 91702. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Bustos, Jerrold C can be contacted via phone (626) 974-1441.

Contact Information

Primary practice address
830 S. Citrus Avenue Suite #201 Azusa CA 91702
Phone: (626) 974-1441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A85842 California
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X A85842 California

Profile Details

NPI number 1942251384
LBN Legal business name Bustos, Jerrold C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 3rd, 2012 - about 12 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 1942251384 NPPES
California Other A85842 CA, MEDICAL LICENSE

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