Co, Mark Wesley Bustillo

Co, Mark Wesley Bustillo is an sole proprietor health care provider with primary practice located at 20151 Nordhoff St , Chatsworth CA 91311-6215. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Co, Mark Wesley Bustillo can be contacted via phone (818) 407-3200.

Contact Information

Primary practice address
20151 Nordhoff St Chatsworth CA 91311-6215
Phone: (818) 407-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95013538 California
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 697369 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95013538 California

Profile Details

NPI number 1477929461
LBN Legal business name Co, Mark Wesley Bustillo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2015
Last updated Oct 5th, 2022 - about 3 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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