DR. Nathan Joseph Bautista, DO

NPI #1033962600 in South Gate, California

Provider Information

NPI Number: 1033962600
Entity Type: Individual
Name: DR. Nathan Joseph Bautista, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DO
Enumeration Date: Apr 11, 2024
Last Updated: Apr 11, 2024

Practice Location

Address: 8627 ATLANTIC AVE
City: South Gate
State: California
ZIP Code: 90280-3501
Phone: (323) 312-2605

Specialties & Taxonomy Codes

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

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