Laura Bustamante
Individual provider Active NPI Marriage & Family Therapist · Pico Rivera, CA
NPI 1679356752 · NPPES record last updated Mar 14, 2024
Key facts
- NPI
- 1679356752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- AMFT145768 (CA)
- Practice address
- 8337 Telegraph Rd Ste 300
Pico Rivera, CA 90660-4957 - Phone
- (562) 865-3644
- NPI assigned
- Aug 14, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APCC15874 | CA | MD | Professional Counselor |
| AMFT145768 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APCC15874 | CA | |
| Marriage & Family Therapist | 106H00000X | |||
| Marriage & Family Therapist | 106H00000X | AMFT145768 | CA | Yes |
Addresses
Primary practice location
8337 Telegraph Rd Ste 300
Pico Rivera, CA 90660-4957
Mailing address
5030 E Woodwind LN
Anaheim, CA 92807-1145
Phone (323) 420-7656
Other providers in Pico Rivera, CA
- Stephanie Nichole Bravo
- Karlomikhail Nono Buenaseda I
- Kathy Bui
- Desiray Buntain
- Burnetts Icf DD H
- Linda Franco Bustamante
- Priscila Caceda
- Cali Assisted Transportation Inc.
- California Hispanic Commission a & D Abuse
- Camacho and Zaklama Dental Corporation
All providers in Pico Rivera, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.