Bautista, Caroline A
Bautista, Caroline A is an individual health care provider with primary practice located at 1845 N Fair Oaks Ave , Pasadena CA 91103-1620. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Microbiology, which is considered as her primary health care specialty. Bautista, Caroline A can be contacted via phone (626) 744-6005.Contact Information
Primary practice address
1845 N Fair Oaks Ave
Pasadena CA 91103-1620
Phone: (626) 744-6005
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Technologists, Technicians & Other Technical Service Providers / Microbiology | 246QM0900X | PHM35613 | California |
Profile Details
NPI number | 1265640866 |
---|---|
LBN Legal business name | Bautista, Caroline A |
Credentials | PHM |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 18th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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 | 1265640866 | NPPES |
California | Other | PHM35613 | LICENSE NUMBER |
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