Angel R Bustamante, PA-C
Physician Assistant, Medical in Monterey Park, CA. Individual provider (NPI-1).
NPI number1013127877
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1013127877
- Entity type
- Individual (NPI-1)
- Name
- Mr. Angel R Bustamante
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 23, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA 16691 | CA | Yes |
Practice location
941 S Atlantic BlvdSuite 101
Monterey Park, CA 91754-4722
Phone 626-458-8401
Mailing address
6534 Branch CtCorona, CA 92880-0803
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