RAYMOND BAUTISTA DPM INC NPI 1285219634

NPI Information

RAYMOND BAUTISTA DPM, INC is a non pharmacy dispensing site in Long Beach, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) RAYMOND BAUTISTA DPM, INC NPI is 1285219634. The provider is registered as an organization entity type.

The provider's business location address is:

701 E 28TH ST STE 111
LONG BEACH, CA
ZIP 90806-715
Phone: (562) 426-2551

The provider's authorized official is Raymond Bautista .
The authorized official title is Medical Director and has the following contact phone number (818) 430-6312.

The enumeration date for this NPI number is 3/16/2021 and was last updated on 3/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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