BUSTILLO MEDICAL CORP INC NPI 1316169105

NPI Information

BUSTILLO MEDICAL CORP, INC is a specialist in Fountain Valley, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BUSTILLO MEDICAL CORP, INC NPI is 1316169105. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9900 TALBERT AVE
SUITE 202
FOUNTAIN VALLEY, CA
ZIP 92708-153
Phone: (714) 378-5552
Fax: (714) 378-5541

The provider's authorized official is Gerardo Bustillo .
The authorized official title is President and has the following contact phone number (714) 378-5552.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 5/8/2009.

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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