Basic Information
| Provider Information | |||||||||
| NPI: | 1710030960 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | R. WILLIAM BUSTER, M.D. AND ASSOCIATES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 845 W LA VETA AVE STE 108 | ||||||||
| Address2: | |||||||||
| City: | ORANGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928683930 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7146392600 | ||||||||
| FaxNumber: | 7142893906 | ||||||||
| Practice Location | |||||||||
| Address1: | 845 W LA VETA AVE STE 108 | ||||||||
| Address2: | |||||||||
| City: | ORANGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928683930 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7146392600 | ||||||||
| FaxNumber: | 7142893906 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/19/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | BUSTER | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
| AuthorizedOfficialMiddleName: | WILLIAM | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7146392600 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0300X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine |
No ID Information.