Individual
ANDREW RICHARD BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1355 S HILL ST, LOS ANGELES, CA 90015-3012
(213) 389-5820
Mailing address
13800 BIOLA AVE, LA MIRADA, CA 90639-0002
(951) 834-2299
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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