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Contact Information

BUSTAMANTE ENDODONTICS ADC
11645 WILSHIRE BLVD
SUITE 1160
LOS ANGELES, CA90025-6811
 Phone: 310-473-5559
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for BUSTAMANTE ENDODONTICS ADC

NPI # 1710074513
LBN Legal business name BUSTAMANTE ENDODONTICS ADC
Authorized official MANUEL BUSTAMANTE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA License # 29218
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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