Individual
SUSAN LOREE BUNTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3710 CESAR CHAVEZ AVE, LOS ANGELES, CA 90063-2001
(323) 980-8404
(323) 980-8405
Mailing address
3710 CESAR CHAVEZ AVE, LOS ANGELES, CA 90063-2011
(323) 980-8404
(323) 980-8405
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13869
CA
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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