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Diego Bautista
Electroneurodiagnostic Specialist/Technologist in Beverely Hills, California
NPI 1629535604

Diego Bautista is a Electroneurodiagnostic Specialist/Technologist based in Lake Elsinore, CA and is specialized in Electroneurodiagnostic. Diego Bautista practices in Beverely Hills, CA. The NPI Number for Diego Bautista is 1629535604 and holds a License No. (California).

The current practice location address for Diego Bautista is 324 S Beverly Drive #214, Beverely Hills, CA and can be reached out via phone at 303-922-4636 and via fax at 303-922-4640.

Location: 324 S Beverly Drive #214, Beverely Hills, CA, 92530-2032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629535604
Provider Name
Diego Bautista
Credential
Provider Entity Type
Individual
Gender
Male
Address
324 S Beverly Drive #214, Beverely Hills, CA, 92530-2032
Phone Number
303-922-4636
Fax Number
303-922-4640
Provider Enumeration Date
02/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
324 S Beverly Drive #214
City
Beverely Hills
State
California
Zip
90212
Phone Number
303-922-4636
Fax Number
303-922-4640
person
Provider Business Mailing Address Details
Address
324 S Beverly Drive #214
City
Beverely Hills
State
California
Zip
90212
Phone Number
303-922-4636
Fax Number
303-922-4640
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Electroneurodiagnostic
Taxonomy
246ZE0600X
License No.
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Definition
Definition to come...
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