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Contact Information

SUSANA R BUSTAMANTE, LCSW
333 S BEAUDRY AVE
LOS ANGELES, CA90017
 Phone: 213-241-3841
 Fax: 213-241-3305
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for SUSANA R BUSTAMANTE · (Female)

NPI Number 1003309725
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 06/07/2018
Last updated 08/14/2018 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # LCS19348
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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