Individual provider · NPI-1

David Bush, M.D.

· Loma Linda, CA

NPI number1114944782
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1114944782
Entity type
Individual (NPI-1)
Name
David Bush
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 17, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0001X G78860CAYes

Practice location

11234 Anderson St
Loma Linda, CA 92354-2804

Phone 909-558-8311

Mailing address

Po Box 30969
Los Angeles, CA 90030-0969

Phone 909-558-3014

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