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Contact Information

MARLON BAUTISTA, RN
3801 MIRANDA AVE
PALO ALTO, CA94304-1207
 Phone: 650-493-5000
 Fax: 650-858-8920
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

163WR0400X
Indicates primary specialty

NPI Profile & details for MARLON BAUTISTA · (Male)

NPI # 1760207849
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 11/22/2024
Last updated 11/22/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 651510
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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