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Contact Information

DIEGO BAUTISTA
324 S BEVERLY DRIVE #214
BEVERLY HILLS, CA90212
 Phone: 303-922-4636
 Fax: 303-922-4640
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Electroneurodiagnostic

246ZE0600X
Indicates primary specialty

NPI Profile & details for DIEGO BAUTISTA · (Male)

NPI # 1629535604
Status Active
Credentials
Entity Individual
Enumeration date 02/26/2019
Last updated 02/26/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers Not Available
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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