Bustamante, Renee C

Bustamante, Renee C is an sole proprietor health care provider with primary practice located at 4760 Sepulveda Blvd , Culver City CA 90230-4820. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Bustamante, Renee C can be contacted via phone (310) 390-6612.

Contact Information

Primary practice address
4760 Sepulveda Blvd Culver City CA 90230-4820
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1851532931
LBN Legal business name Bustamante, Renee C
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2009
Last updated Mar 18th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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