Verder Bautista, Pamela N

Verder Bautista, Pamela N is an individual health care provider with primary practice located at 632 W Gibson Rd , Woodland CA 95695. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Verder Bautista, Pamela N can be contacted via phone (530) 666-1631.

Contact Information

Primary practice address
632 W Gibson Rd Woodland CA 95695
Fax: (530) 668-4839
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A76841 California

Profile Details

NPI number 1558396028
LBN Legal business name Verder Bautista, Pamela N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Nov 2nd, 2009 - about 15 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 1558396028 NPPES
California MEDICAID 00A768410
California Other 00A768410

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