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CAROLINE A BAUTISTA, PHM – NPI #1265640866
Microbiology

NPI Profile for CAROLINE A BAUTISTA in PASADENA, CA.

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Contact Information

CAROLINE A BAUTISTA, PHM
1845 N FAIR OAKS AVE
PASADENA, CA  91103-1620
 Phone: 626-744-6005
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Microbiology

 246QM0900X
Indicates primary specialty

NPI Profile & details for CAROLINE A BAUTISTA · (Female)

NPI Number 1265640866
Status Active
Credentials PHM
Entity Individual
Enumeration date 05/18/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PHM35613
  • CA Other PHM35613 LICENSE NUMBER
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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