Ivan Bustamante
Ivan Bustamante is a Clinical Social Worker in Pasadena, California. Licensed in California. Registered with an NPI since 2018.
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
867 N Fair Oaks AvePasadena, CA 91103-3050
Phone: (626) 797-6793
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence LCSW116016 (CA) |
|---|
Record details
| NPI number | 1346720679 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 16, 2018 |
| Last updated in NPPES | October 1, 2026 |
| Certification date | October 1, 2026 |
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