Individual
ANDREW BANUELOS BUGARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3580 WILSHIRE BLVD STE 800, LOS ANGELES, CA 90010-2505
(213) 328-9724
Mailing address
3580 WILSHIRE BLVD STE 800, LOS ANGELES, CA 90010-2505
(213) 328-9724
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
12/19/2022
Last updated
04/29/2025
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