Healthcare Provider Details

I. General information

NPI: 1629022314
Provider Name (Legal Business Name): ASHLEY BUSUTTIL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY DRESSLER MD

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 12/23/2020
Certification Date: 12/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 WESTWOOD PLZ SUITE 7501
LOS ANGELES CA
90095-3075
US

IV. Provider business mailing address

5767 W. CENTURY BLVD #400
LOS ANGELES CA
90045-5655
US

V. Phone/Fax

Practice location:
  • Phone: 310-267-9643
  • Fax: 310-267-3840
Mailing address:
  • Phone: 310-267-9643
  • Fax: 310-206-3551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA90390
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: