Ivan Bustamante
NPI #1346720679 in San Dimas, California
Provider Information
- NPI Number
- 1346720679
- Entity Type
- Individual
- Name
- Ivan Bustamante
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Aug 16, 2018
- Last Updated
- Mar 11, 2025
Practice Location
- Address
- 180 VIA VERDE STE 200
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-3993
- Phone
- (909) 599-1227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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