Individual
DR. JERROLD C BUSTOS
Active
Individual
DR. JERROLD C BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A85842
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A85842
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A85842
CA, MEDICAL LICENSE
CA
Enumeration date
05/12/2006
Last updated
07/03/2012
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