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Contact Information

NATHANIEL S BAUTISTA, MD
43839 15TH ST W
LANCASTER, CA93534-4756
 Phone: 661-945-5984
 Fax: 661-951-3260
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for NATHANIEL S BAUTISTA · (Male)

NPI # 1538270822
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2006
Last updated 09/10/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A49430
  • CA Medicaid 00A494300
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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