Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOFIA CARMEN BUSTILLO
Active Sole ProprietorSOFIA CARMEN BUSTILLO is a Medical Physician Assistant healthcare provider located in SEAL BEACH, California. NPI 1275144313 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · SEAL BEACH, CA
Registration Details
- NPI Number
- 1275144313
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 12, 2020 (5.8233981833444 yrs)
- Last Updated
- Dec 17, 2024
- Licenses
-
58679 (CA)58679 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1709 CORAL PLSEAL BEACH, CA, 907405712Browse CA providers · Browse ZIP 90740
- Phone
- 5625885143
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in SEAL BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| JAMES JOSEPH CONSTABILEO | PHYSICIAN ASSISTANT | 1568572352 |
| LAUREN N SWANSON | PA-C | 1760647853 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.