Individual provider · Type 1 NPI
Susan Loree Bunten, PA-C
Medical Physician Assistant · Los Angeles, CA
NPI number
1902196983
Active
Practice location
3710 Cesar Chavez Ave
Los Angeles, CA 90063-2001
Fax (323) 980-8405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA13869 (CA) |
Medical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1902196983
Susan Loree Bunten, PA-C's National Provider Identifier is 1902196983, issued on Apr 12, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 12, 2011.