Organization
SYMPTOM MEDICINE INC
Active
Parent organization
CHANTE S BUNTIN MD INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHANTE S BUNTIN MD INC
Authorized official
DR. CHANTE S BUNTIN MD (CEO)
(888) 796-6331
Entity
Organization
Contact information
Practice address
2030 N PACIFIC AVE, SUITE F, SANTA CRUZ, CA 95060-7602
(888) 796-6331
(888) 796-6330
Mailing address
2030 NORTH PACIFIC AVE, SUITE F, SANTA CRUZ, CA 95060-7602
(888) 796-6331
(888) 796-6330
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A76678
CA
261QP3300X
Pain Clinic/Center
A76678
CA
Other
Enumeration date
01/26/2012
Last updated
03/21/2012
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