Search › California › 106H00000X
Jackie Bustamante
NPI 1174682009 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2200 W Wilson St Spc 33
Banning, CA 92220 - Phone
- (840) 336-3506
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California