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Nathaniel Loomis Dusto

Student in an Organized Health Care Education/Training Program

Student, Health Care

101 The City Dr S Bldg 53, Orange, CA 92868

PECOS Enrollment

This provider is enrolled in PECOS as NATHANIEL DUSTO.

Based on the most recent information from CMS, provider Nathaniel Loomis Dusto is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1578069639
Provider Type
Individual
Full Name
Dusto, Nathaniel Loomis
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/5/2018
Last Updated
11/19/2019

Contact Information

Practice Location

101 The City Dr S Bldg 53, Orange, CA 92868

(714) 456-6668

(714) 456-6557

Mailing Location

101 The City Dr S Bldg 53, Orange, CA 92868-3201

(714) 456-6668

(714) 456-6557

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer California

Nathaniel Loomis Dusto

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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