Jo-Anne Bustamante in Glendale - Procedural Dermatology
Jo-Anne Bustamante - NPI 1700971611
Jo-Anne Bustamante is a Procedural Dermatology in Glendale, California. Jo-Anne Bustamante practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Jo-Anne Bustamante is 1700971611. The last update date is 2018-01-24.
Jo-Anne Bustamante's current location address is 1818 Verdugo Blvd Ste 304, Glendale, California. You can contact this provider via phone number 8187903588 and fax number 8187906518. The mailing address for Jo-Anne Bustamante is 1818 Verdugo Blvd Ste 304, Glendale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jo-Anne Bustamante |
|---|---|
| Address | 1818 Verdugo Blvd Ste 304, Glendale, California |
| Phone Number | 8187903588 |
| Fax Number | 8187906518 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1700971611 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2018-01-24 |
Provider Mailing Address Detail
| Address | 1818 Verdugo Blvd Ste 304 |
|---|---|
| City | Glendale |
| State | California (CA) |
| Post Code | 912081444 |
| Phone Number | 8187903588 |
| Fax Number | 8187906518 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | PA16953 |
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Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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What is the unique 10-digit identifier code issued to Jo-Anne Bustamante by the Centers for Medicare & Medicaid Services?
The Jo-Anne Bustamante has been assigned the NPI (National Provider Identifier) 1700971611 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jo-Anne Bustamante?
The Jo-Anne Bustamante is physically situated at 1818 Verdugo Blvd Ste 304, in the city of Glendale, state of CA, with the postal code 912081444.
What is the area of specialization for Jo-Anne Bustamante, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jo-Anne Bustamante is Procedural Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207Ns0135X.
On what date did the Jo-Anne Bustamante receive the assignment of its 1700971611 from the Centers for Medicare & Medicaid Services?
The Jo-Anne Bustamante was issued its 1700971611 by the Centers for Medicare & Medicaid Services on 2006-10-04.
As of what date were the details related to Jo-Anne Bustamante most recently updated or revised?
The information pertaining to Jo-Anne Bustamante, including its address, specialty, and other relevant details, was last updated or revised on 2018-01-24.
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