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Contact Information

NIEVA SOCORRO R. BAUTISTA D.M.D., INC
1293 E VISTA WAY
VISTA, CA92084-4039
 Phone: 760-724-7645
 Fax: 760-724-7640
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for NIEVA SOCORRO R. BAUTISTA D.M.D., INC

NPI # 1194932152
LBN Legal business name NIEVA SOCORRO R. BAUTISTA D.M.D., INC
Authorized official NIEVA BAUTISTA - (CEO/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/17/2007
Last updated 06/03/2014 - About 12 years ago
Identifiers
CA License # 47229
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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