Bautista, Caroline A

Bautista, Caroline A is an individual health care provider with primary practice located at 1845 N Fair Oaks Ave , Pasadena CA 91103-1620. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Microbiology, which is considered as her primary health care specialty. Bautista, Caroline A can be contacted via phone (626) 744-6005.

Contact Information

Primary practice address
1845 N Fair Oaks Ave Pasadena CA 91103-1620
Phone: (626) 744-6005
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Microbiology 246QM0900X PHM35613 California

Profile Details

NPI number 1265640866
LBN Legal business name Bautista, Caroline A
Credentials PHM
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Jul 8th, 2007 - about 15 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 1265640866 NPPES
California Other PHM35613 LICENSE NUMBER

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