DR. Jerrold C Bustos, M.D.

NPI #1942251384 in Azusa, California

Provider Information

NPI Number: 1942251384
Entity Type: Individual
Name: DR. Jerrold C Bustos, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: M.D.
Enumeration Date: May 12, 2006
Last Updated: Jul 3, 2012

Practice Location

Address: 830 S. CITRUS AVENUE
Address 2: SUITE #201
City: Azusa
State: California
ZIP Code: 91702
Phone: (626) 974-1441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X

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