Individual
ANGELITO BUSTAMANTE DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
13178 ALTA VISTA WAY, SYLMAR, CA 91342-3461
(818) 731-3293
Mailing address
13178 ALTA VISTA WAY, SYLMAR, CA 91342-3461
(818) 731-3293
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
33282
CA
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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