Bautista, Jefferson Aquino

Bautista, Jefferson Aquino is an individual health care provider with primary practice located at 1211 W La Palma Ave Ste 404 , Anaheim CA 92801-2806. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Bautista, Jefferson Aquino can be contacted via phone (714) 772-8282.

Contact Information

Primary practice address
1211 W La Palma Ave Ste 404 Anaheim CA 92801-2806
Phone: (714) 772-8282
Fax: (714) 772-6493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 16338 California

Profile Details

NPI number 1336218734
LBN Legal business name Bautista, Jefferson Aquino
Credentials NP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Dec 24th, 2020 - about 6 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 1336218734 NPPES
California Other 486995 RN

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