Sofia Carmen Bustillo
NPI #1275144313 in Seal Beach, California
Provider Information
- NPI Number
- 1275144313
- Entity Type
- Individual
- Name
- Sofia Carmen Bustillo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Aug 12, 2020
- Last Updated
- Dec 17, 2024
Practice Location
- Address
- 1709 CORAL PL
- City
- Seal Beach
- State
- California
- ZIP Code
- 90740-5712
- Phone
- (562) 588-5143
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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