Search › California › 225100000X
Brando Bautista
NPI 1013287135 · on the registry since 2012 · sole proprietor
Practice
- Address
- 5109 Highland View Ave
Los Angeles, CA 90041 - Phone
- (323) 258-6856
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California