Individual provider · Type 1 NPI

Sandy Bautista

Medical Physician Assistant · Santa Fe Springs, CA

NPI number 1467235432 Active

Practice location

11111 Bloomfield Ave
Santa Fe Springs, CA 90670-4655

Call (562) 906-2685 Map

Mailing address

12070 Telegraph Rd
Santa Fe Springs, CA 90670-3771

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1467235432

Sandy Bautista's National Provider Identifier is 1467235432, issued on Aug 15, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Santa Fe Springs, CA. The record was last updated on Jul 11, 2024.