Bautista-Azores, Richelle Pili

Bautista-Azores, Richelle Pili is an individual health care provider with primary practice located at 1111 N China Lake Blvd Ste 501 , Ridgecrest CA 93555. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bautista-Azores, Richelle Pili can be contacted via phone (760) 499-3846.

Contact Information

Primary practice address
1111 N China Lake Blvd Ste 501 Ridgecrest CA 93555
Phone: (760) 499-3846
Fax: (760) 499-3832
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00041126 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X PT 12429 North Dakota

Profile Details

NPI number 1619943024
LBN Legal business name Bautista-Azores, Richelle Pili
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated May 14th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619943024 NPPES
North Dakota MEDICAID 17047
North Dakota MEDICAID 1117852

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