Individual provider · NPI-1

Dr. Steven Kalani Sinfuego Bustamante, MD

Family Medicine · Pomona, CA

NPI number1730769100
StatusActive
Last updated in NPPESAug 20, 2024

Details

NPI
1730769100
Entity type
Individual (NPI-1)
Name
Dr. Steven Kalani Sinfuego Bustamante
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 10, 2021
Certification date
Aug 20, 2024
Last updated
Aug 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA193132CAYes

Practice location

1501 E Holt Ave
Pomona, CA 91767-5823

Phone 909-623-3600 · Fax 909-623-3383

Mailing address

1501 E Holt Ave
Pomona, CA 91767-5823

Phone 909-623-3600 · Fax 909-623-3383

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