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Individual

ANGELICA BUSTOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
(310) 829-8325
Mailing address
2361 MOSS AVE, LOS ANGELES, CA 90065-2721

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
07/07/2026
Last updated
07/07/2026
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