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Gregory Bautista
Psychiatric/Mental Health Registered Nurse in Long Beach, California
NPI 1801553847

Gregory Bautista is a Psychiatric/Mental Health Registered Nurse based in Long Beach, CA and is specialized in Psychiatric/Mental Health. Gregory Bautista practices in Long Beach, CA. The NPI Number for Gregory Bautista is 1801553847 and holds a License No. 95205276 (California).

The current practice location address for Gregory Bautista is 6060 N Paramount Blvd, Long Beach, CA and can be reached out via phone at 562-634-9534.

Location: 6060 N Paramount Blvd, Long Beach, CA, 90805-3711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801553847
Provider Name
Gregory Bautista
Credential
Provider Entity Type
Individual
Gender
Male
Address
6060 N Paramount Blvd, Long Beach, CA, 90805-3711
Phone Number
562-634-9534
Fax Number
Provider Enumeration Date
11/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6060 N Paramount Blvd
City
Long Beach
State
California
Zip
90805-3711
Phone Number
562-634-9534
Fax Number
person
Provider Business Mailing Address Details
Address
6060 N Paramount Blvd
City
Long Beach
State
California
Zip
90805-3711
Phone Number
562-634-9534
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
95205276 (California)
Definition
Definition to come...
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