LIBIA BUSTOS SUDRC NPI 1568013654

NPI Information

  • NPI: 1568013654
  • Provider Name: LIBIA BUSTOS, SUDRC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 3575 PERSHING AVE
    SAN DIEGO, CA
    ZIP 92104
  • Phone: (619) 294-4526

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NPI Details

Libia Bustos, SUDRC is an addiction (substance use disorder) counselor in San Diego, CA. Libia Bustos, SUDRC NPI is 1568013654. 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:

3575 PERSHING AVE
SAN DIEGO, CA
ZIP 92104-413
Phone: (619) 294-4526

The enumeration date for this NPI number is 9/20/2019 and was last updated on 9/20/2019.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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