Bautista, Elaine Reyes
Bautista, Elaine Reyes is an individual health care provider with primary practice located at 39000 Bob Hope Dr Hal B Wallis Bldg, Rancho Mirage CA 92270-3221. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bautista, Elaine Reyes can be contacted via phone (760) 346-0642.Contact Information
Primary practice address
39000 Bob Hope Dr Hal B Wallis Bldg
Rancho Mirage CA 92270-3221
Phone: (760) 346-0642
Fax: (760) 404-1376
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA19574 | California |
Profile Details
| NPI number | 1790953222 |
|---|---|
| LBN Legal business name | Bautista, Elaine Reyes |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2008 |
| Last updated | Feb 19th, 2008 - about 18 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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