Santiago, Amy Bautista

Santiago, Amy Bautista is an individual health care provider with primary practice located at 16323 Clark Ave , Bellflower CA 90706-5209. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Santiago, Amy Bautista can be contacted via phone (562) 925-7716.

Contact Information

Primary practice address
16323 Clark Ave Bellflower CA 90706-5209
Fax: (562) 867-0665
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 13922 California

Profile Details

NPI number 1245351485
LBN Legal business name Santiago, Amy Bautista
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Aug 24th, 2021 - about 4 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 1245351485 NPPES
California Other 13922 NP FURNISHING
California Other 544251 NP FURNISHING

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