Santos, Krystleblue Bautista
Santos, Krystleblue Bautista is an sole proprietor health care provider with primary practice located at 5900 S Eastern Ave Ste 142 , Commerce CA 90040-4024. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Santos, Krystleblue Bautista can be contacted via phone (323) 622-2020.Contact Information
Primary practice address
5900 S Eastern Ave Ste 142
Commerce CA 90040-4024
Phone: (323) 622-2020
Fax: (323) 622-2021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1578812194 |
|---|---|
| LBN Legal business name | Santos, Krystleblue Bautista |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2012 |
| Last updated | Aug 29th, 2012 - about 13 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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