Individual provider · Type 1 NPI
Guadalupe Mondragon-Bautista
Licensed Vocational Nurse · San Diego, CA
Practice location
1733 Euclid Ave
San Diego, CA 92105-5414
Fax (619) 263-3992
Mailing address
383 Mission Villas Rd
San Marcos, CA 92069-2075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | None listed |
| Licensed Vocational Nurse Primary | 164X00000X | 736593 (CA) |
Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…
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About NPI 1508614561
Guadalupe Mondragon-Bautista's National Provider Identifier is 1508614561, issued on May 7, 2024. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in San Diego, CA. The record was last updated on Feb 3, 2025.