Hernandez Bautista, Brenda

Hernandez Bautista, Brenda is an individual health care provider with primary practice located at 222 W 6Th St Ste 230 , San Pedro CA 90731-3332. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Hernandez Bautista, Brenda can be contacted via phone (310) 833-3135.

Contact Information

Primary practice address
222 W 6Th St Ste 230 San Pedro CA 90731-3332
Phone: (310) 833-3135
Fax: (310) 707-2877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ACSW90551 California

Profile Details

NPI number 1649757535
LBN Legal business name Hernandez Bautista, Brenda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2018
Last updated May 3rd, 2022 - about 4 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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