Individual
DR. RAYMOND M BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 E 28TH ST, SUITE 111, LONG BEACH, CA 90806-2759
(562) 426-2551
(562) 988-0610
Mailing address
701 E 28TH ST, SUITE 111, LONG BEACH, CA 90806-2759
(562) 426-2551
(562) 988-0610
Taxonomy
Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
Primary
E4157
CA
Other
Enumeration date
05/23/2006
Last updated
09/26/2013
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