Bautista, Johann

Bautista, Johann is an individual health care provider with primary practice located at 20253 Redwood Rd Ste A , Castro Valley CA 94546-4331. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bautista, Johann can be contacted via phone (510) 247-9831.

Contact Information

Primary practice address
20253 Redwood Rd Ste A Castro Valley CA 94546-4331
Phone: (510) 247-9831
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X California

Profile Details

NPI number 1235778028
LBN Legal business name Bautista, Johann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2019
Last updated Aug 15th, 2024 - about 2 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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