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Organization
PATIENT PAYMENT AGENT
Active
Organization
PATIENT PAYMENT AGENT
Active
Other names
My Community Testing
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS BRYAN BUSTOS (COO)
(650) 555-1212
Entity
Organization
Contact information
Practice address
750 STORY RD STE 12, SAN JOSE, CA 95122-2604
(408) 614-7182
Mailing address
1009 E CAPITOL EXPY STE 710, SAN JOSE, CA 95121-2415
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
—
NULL
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
09/28/2026
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