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NPI Code Detail

MEDICARE: JOHN BUSE MFT

MEDICARE:   JOHN  BUSE  MFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMFC 51115CA

General Provider Information

NPI Number : 1205101185
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN BUSE MFT
Provider Business Mailing Address
First Line : 6535 WILSHIRE BLVD
Second Line : SUITE 259
City : LOS ANGELES
State : CA
Zip : 90048-4905
Country : US
Telephone Number : 323-687-1923
Fax Number :
Provider Business Practice Location Address
First Line : 6535 WILSHIRE BLVD
Second Line : SUITE 259
City : LOS ANGELES
State : CA
Zip : 90048-4905
Country : US
Telephone Number : 323-687-1923
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2012
Last Update Date : 08/13/2013

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Directions to “ JOHN BUSE MFT” Practice Location

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