# SYMPTOM MEDICINE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHANTE S BUNTIN MD INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275804940
- **Legal business name:** CHANTE S BUNTIN MD INC
- **Authorized official:** DR. CHANTE S BUNTIN MD (CEO)
- **Authorized official phone:** (888) 796-6331

## Contact information

- **Practice address:** 2030 N PACIFIC AVE, SUITE F, SANTA CRUZ, CA 95060-7602
- **Practice address phone:** (888) 796-6331
- **Practice address fax:** (888) 796-6330
- **Mailing address:** 2030 NORTH PACIFIC AVE, SUITE F, SANTA CRUZ, CA 95060-7602
- **Mailing address phone:** (888) 796-6331
- **Mailing address fax:** (888) 796-6330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A76678 | CA | Yes |
| 261QP3300X | Pain Clinic/Center | A76678 | CA | — |

## Other

- **Enumeration date:** 01/26/2012
- **Last updated:** 03/21/2012