Individual
DR. NATHANIEL SAGUN BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
43839 15TH ST W, LANCASTER, CA 93534-4756
(661) 945-5984
(661) 951-3260
Mailing address
PO BOX 7007, LANCASTER, CA 93539-7007
(661) 945-5984
(661) 951-3260
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
A49430
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A494300
—
CA
Enumeration date
08/31/2006
Last updated
09/10/2008
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