Bautista, Norman C.
Bautista, Norman C. is an sole proprietor health care provider with primary practice located at 1848 N Alvarado St , Los Angeles CA 90026-1781. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bautista, Norman C. can be contacted via phone (323) 663-0465.Contact Information
Primary practice address
1848 N Alvarado St
Los Angeles CA 90026-1781
Phone: (323) 663-0465
Fax: (323) 953-6718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A60200 | California |
Profile Details
| NPI number | 1134224066 |
|---|---|
| LBN Legal business name | Bautista, Norman C. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Aug 15th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134224066 | NPPES |
| California | Other | A60200 | MEDICARE PTAN |
| California | Other | A60200 | MEDICARE PTAN |
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