Bautista, Layla Regina

Bautista, Layla Regina is an individual health care provider with primary practice located at 1400 Emeline Ave , Santa Cruz CA 95060-1976. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Bautista, Layla Regina can be contacted via phone (831) 454-4170.

Contact Information

Primary practice address
1400 Emeline Ave Santa Cruz CA 95060-1976
Phone: (831) 454-4170
Fax: (831) 454-4663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X 16648-16 California

Profile Details

NPI number 1629579362
LBN Legal business name Bautista, Layla Regina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2018
Last updated Mar 17th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629579362 NPPES
California MEDICAID FHC70042F
California Other ZZZ92069Z
California MEDICAID FHC70044F

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