Dr LETICIA BUSTAMANTE is a female medical professional, specializing in Nurse Practitioner. She graduated in 2007.
IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP APC
751 W LEGION RD
SUITE 102
BRAWLEY
CA
922277754
Tel: 7603518696
| Npi | 1609058924 |
| Pac Id | 6406134402 |
| Professional Enrollment Id | I20161026001179 |
| Last Name | BUSTAMANTE |
| First Name | LETICIA |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP APC |
| Group Practice Pac Id | 0446243083 |
| Number Of Group Practice Members | 45 |
| Line 1 Street Address | 751 W LEGION RD |
| Line 2 Street Address | SUITE 102 |
| Marker Of Address Line 2 Suppression | |
| City | BRAWLEY |
| State | CA |
| Zip Code | 922277754 |
| Phone Number | 7603518696 |
| Hospital Affiliation Ccn 1 | 050342 |
| Hospital Affiliation Lbn 1 | PIONEERS MEMORIAL HEALTHCARE DISTRICT |
| Hospital Affiliation Ccn 2 | 050045 |
| Hospital Affiliation Lbn 2 | EL CENTRO REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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