Individual
DR. GILBERT ALFORT BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MEDICAL DOCTOR
Contact information
Practice address
754 N MOUNTAIN AVE, ONTARIO, CA 91762-2544
(909) 460-4155
(909) 988-4414
Mailing address
16702 VALLEY VIEW AVE, LA MIRADA, CA 90638-5824
(714) 367-5360
(714) 635-5428
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
A32872
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A32872
MEDICAL LICENSE
CA
Enumeration date
09/15/2006
Last updated
07/21/2022
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