Individual
ISSA BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
941 EL DORADO AVE, SANTA CRUZ, CA 95062-2863
(831) 476-9494
Mailing address
380 ENCINAL ST STE 200, SANTA CRUZ, CA 95060-2178
(831) 469-1700
(831) 425-1905
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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