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Sofia Carmen Bustillo
Medical Physician Assistant in Seal Beach, California
NPI 1275144313

Sofia Carmen Bustillo is a Medical Physician Assistant based in Seal Beach, CA and is specialized in Medical. Sofia Carmen Bustillo practices in Seal Beach, CA. The NPI Number for Sofia Carmen Bustillo is 1275144313 and holds a License No. (California).

The current practice location address for Sofia Carmen Bustillo is 1709 Coral Pl, Seal Beach, CA and can be reached out via phone at 562-588-5143.

Location: 1709 Coral Pl, Seal Beach, CA, 90740-5712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275144313
Provider Name
Sofia Carmen Bustillo
Credential
Provider Entity Type
Individual
Gender
Female
Address
1709 Coral Pl, Seal Beach, CA, 90740-5712
Phone Number
562-588-5143
Fax Number
Provider Enumeration Date
08/12/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1709 Coral Pl
City
Seal Beach
State
California
Zip
90740-5712
Phone Number
562-588-5143
Fax Number
person
Provider Business Mailing Address Details
Address
1709 Coral Pl
City
Seal Beach
State
California
Zip
90740-5712
Phone Number
562-588-5143
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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