Bautista, Geoanna Marie S

Bautista, Geoanna Marie S is an sole proprietor health care provider with primary practice located at 2516 Stockton Blvd , Sacramento CA 95817-2208. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Bautista, Geoanna Marie S can be contacted via phone (916) 734-3891.

Contact Information

Primary practice address
2516 Stockton Blvd Sacramento CA 95817-2208
Phone: (916) 734-3891
Fax: (916) 456-2236
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125067243 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X A155189 California

Profile Details

NPI number 1427444769
LBN Legal business name Bautista, Geoanna Marie S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2015
Last updated Apr 2nd, 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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