Individual provider · Type 1 NPI
Diego Bautista
Electroneurodiagnostic Specialist/Technologist · Beverely Hills, CA
NPI number
1629535604
Active
Practice location
324 S Beverly Drive #214
Beverely Hills, CA 90212
Fax (303) 922-4640
Mailing address
4177 Isabella Cir
Lake Elsinore, CA 92530-2032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | None listed |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
About NPI 1629535604
Diego Bautista's National Provider Identifier is 1629535604, issued on Feb 26, 2019. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Beverely Hills, CA. The record was last updated on Feb 26, 2019.