Bautista, Randolph

Bautista, Randolph is an individual health care provider with primary practice located at 2108 Lark Bay Ln , Lakewood CA 90712-2853. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Bautista, Randolph can be contacted via phone (818) 326-3299.

Contact Information

Primary practice address
2108 Lark Bay Ln Lakewood CA 90712-2853
Phone: (818) 326-3299
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA49750 California

Profile Details

NPI number 1255057303
LBN Legal business name Bautista, Randolph
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2022
Last updated Oct 19th, 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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