Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bustillo Medical Corp, Inc

Organization Specialist · NPI 1316169105

Bustillo Medical Corp, Inc is a Specialist in Fountain Valley, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9900 Talbert Ave Ste 202
Fountain Valley, CA 92708-5153
Phone: (714) 378-5552
Fax: (714) 378-5541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G51357 (CA)

Record details

NPI number1316169105
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerardo Bustillo — President · (714) 378-5552
NPI enumeratedMay 3, 2007
Last updated in NPPESMay 8, 2009
Mailing address9900 Talbert Ave, Suite 202, Fountain Valley, CA 92708-5153

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