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Mr. Daniel Bustamante
Student in an Organized Health Care Education/Training Program in Commerce, California
NPI 1982976619

Daniel Bustamante is a Student in an Organized Health Care Education/Training Program based in Commerce, CA. Daniel Bustamante practices in Commerce, CA. The NPI Number for Daniel Bustamante is 1982976619 and holds a License No. (California).

The current practice location address for Daniel Bustamante is 5628 E Slauson Ave, Commerce, CA and can be reached out via phone at 323-318-9960 and via fax at 323-780-3211.

Location: 5628 E Slauson Ave, Commerce, CA, 90040-2922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982976619
Provider Name
Daniel Bustamante
Credential
Provider Entity Type
Individual
Gender
Male
Address
5628 E Slauson Ave, Commerce, CA, 90040-2922
Phone Number
323-318-9960
Fax Number
323-780-3211
Provider Enumeration Date
01/26/2012
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95-2633765 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
5628 E Slauson Ave
City
Commerce
State
California
Zip
90040-2922
Phone Number
323-318-9960
Fax Number
323-780-3211
person
Provider Business Mailing Address Details
Address
5628 E Slauson Ave
City
Commerce
State
California
Zip
90040-2922
Phone Number
323-318-9960
Fax Number
323-780-3211
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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