Bautista, Mariel Balot

Bautista, Mariel Balot is an sole proprietor health care provider with primary practice located at 12291 Washington Blvd Ste 300 , Whittier CA 90606-2549. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bautista, Mariel Balot can be contacted via phone (562) 967-2840.

Contact Information

Primary practice address
12291 Washington Blvd Ste 300 Whittier CA 90606-2549
Phone: (562) 967-2840
Fax: (562) 967-2853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95006528 California

Profile Details

NPI number 1316475759
LBN Legal business name Bautista, Mariel Balot
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2017
Last updated Mar 29th, 2022 - about 3 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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