MEDICARE: KATHERINE BUSMANN

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	183500000X	Pharmacist	56912	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760873145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE BUSMANN

Provider Business Mailing Address
First Line	:	7909 BEVERLY BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-4501
Country	:	US
Telephone Number	:	323-651-3249
Fax Number	:	323-651-3294

Provider Business Practice Location Address
First Line	:	7909 BEVERLY BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-4501
Country	:	US
Telephone Number	:	323-651-3249
Fax Number	:	323-651-3294

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

Provider Enumeration Date	:	02/06/2015
Last Update Date	:	02/06/2015

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Directions to “ KATHERINE BUSMANN ” Practice Location

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