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

Edward Andrewmalcom Bustamante

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1720751068

Edward Andrewmalcom Bustamante is an Addiction (Substance Use Disorder) Counselor in San Bernardino, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1100 N D St
San Bernardino, CA 92410-3524
Phone: (909) 884-0840
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1720751068
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 30, 2021
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024

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