Bautista, Sandy

Bautista, Sandy is an sole proprietor health care provider with primary practice located at 11111 Bloomfield Ave , Santa Fe Springs CA 90670-4655. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Bautista, Sandy can be contacted via phone (562) 906-2685.

Contact Information

Primary practice address
11111 Bloomfield Ave Santa Fe Springs CA 90670-4655
Phone: (562) 906-2685
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1467235432
LBN Legal business name Bautista, Sandy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2023
Last updated Jul 11th, 2024 - about last year

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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