Provider Demographics
NPI:1730769100
Name:BUSTAMANTE, STEVEN KALANI SINFUEGO (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN KALANI
Middle Name:SINFUEGO
Last Name:BUSTAMANTE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1501 E HOLT AVE
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-5823
Mailing Address - Country:US
Mailing Address - Phone:909-623-3600
Mailing Address - Fax:909-623-3383
Practice Address - Street 1:1501 E HOLT AVE
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-5823
Practice Address - Country:US
Practice Address - Phone:909-623-3600
Practice Address - Fax:909-623-3383
Is Sole Proprietor?:No
Enumeration Date:2021-04-10
Last Update Date:2024-08-20
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Provider Licenses
StateLicense IDTaxonomies
CAA193132207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine