Matthew Hermosura Bautista

NPI #1003666546 in West Hollywood, California

Provider Information

NPI Number: 1003666546
Entity Type: Individual
Name: Matthew Hermosura Bautista
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 26, 2024
Last Updated: Mar 26, 2024

Practice Location

Address: 8700 BEVERLY BLVD STE 5512
City: West Hollywood
State: California
ZIP Code: 90048-1804
Phone: (310) 423-5161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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