Individual
JOSHUA AARON BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
12141 CENTRALIA ST UNIT 302, LAKEWOOD, CA 90715-1566
(562) 547-8560
Mailing address
12141 CENTRALIA ST UNIT 302, LAKEWOOD, CA 90715-1566
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95035952
CA
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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