MARY VIC AMOR MENDIJA BUSTILLO NP NPI 1851661276

NPI Information

Mary Vic Amor Mendija Bustillo, NP is a family nurse practitioner in Los Gatos, CA with 14 years of experience. Mary Vic Amor Mendija Bustillo, NP NPI is 1851661276. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15899 LOS GATOS ALMADEN RD
SUITE 3
LOS GATOS, CA
ZIP 95032-739
Phone: (408) 358-8998
Fax: (408) 358-8818

The NPI 1851661276 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/2/2012 and was last updated on 9/6/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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