MEDICARE: HEATHER BUSTAMANTE LMFT

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
1	106H00000X	Marriage & Family Therapist	53592	CA

General Provider Information

NPI Number	:	1457542318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER BUSTAMANTE LMFT

Provider Business Mailing Address
First Line	:	31946 MISSION TRL STE B
Second Line	:
City	:	LAKE ELSINORE
State	:	CA
Zip	:	92530-4539
Country	:	US
Telephone Number	:	951-471-4300
Fax Number	:	951-674-6431

Provider Business Practice Location Address
First Line	:	31946 MISSION TRL STE B
Second Line	:
City	:	LAKE ELSINORE
State	:	CA
Zip	:	92530-4539
Country	:	US
Telephone Number	:	951-471-4300
Fax Number	:	951-674-6431

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2007
Last Update Date	:	04/12/2021

Similar Medicare Providers

1972473395 — JAMES TOMAS
Practice Location Address:

31946 MISSION TRL STE B
LAKE ELSINORE, CA
92530-4539

Practice Phone: 951-471-4300
Practice Fax:

1497839062 — GEOFFREY DAVID GERSTEIN LPT
Practice Location Address:

31946 MISSION TRL STE B
LAKE ELSINORE, CA
92530-4539

Practice Phone: 951-471-4300
Practice Fax: 951-674-6431

1881734952 — DR. LUCAS ODAHLEN D.C.
Practice Location Address:

31942 MISSION TRL
LAKE ELSINORE, CA
92530-4539

Practice Phone: 951-674-7002
Practice Fax: 951-674-7004

1710021316 — SAIRA PRUDENCIO LMFT
Practice Location Address:

31946 MISSION TRL STE B
LAKE ELSINORE, CA
92530-4539

Practice Phone: 951-245-7748
Practice Fax: 951-674-6431

1790819464 — DR. DONNA EVELYN PH.D.
Practice Location Address:

31946 MISSION TRL , STE B
LAKE ELSINORE, CA
92530-4539

Practice Phone: 951-245-7663
Practice Fax: 951-674-6431

1114119690 — MS. CONCEPCION FOSTER LMFT
Practice Location Address:

31946 MISSION TRL , SUITE B
LAKE ELSINORE, CA
92530-4539

Practice Phone: 951-245-7663
Practice Fax:

Directions to “ HEATHER BUSTAMANTE LMFT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.