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

M. Bussarakum, MD, Inc

Organization Gastroenterology Physician · NPI 1164542536

M. Bussarakum, MD, Inc is a Gastroenterology Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

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

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Practice location Address checks out

201 S Alvarado St Ste 603
Los Angeles, CA 90057-2320
Phone: (213) 483-0500
Fax: (213) 483-3767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence A30882 (CA)

Record details

NPI number1164542536
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mingquan Bussarakum — President · (213) 483-0500
NPI enumeratedMarch 30, 2007
Last updated in NPPESMarch 12, 2009
Mailing address201 S Alvarado St, Suite 603, Los Angeles, CA 90057-2320

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