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Search › California › 106H00000X

Eddie Bautista

NPI 1699956821 · on the registry since 2007

Practice

Address
1400 Emeline Ave
Santa Cruz, CA 95060
Phone
(831) 454-4954
Organisation at this address
Santa Cruz County
Fee-For-Service Lcsw
County Of Santa Cruz
County Of Santa Cruz
County Of Santa Cruz
Inferred from a shared address, not stated in the registry.
Clinicians at this address
236

Additional practice sites

  • 306 Capitol St # 205, Salinas, CA

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
101YM0800X
106H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-09-14

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