Individual
MICHAEL BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1054 PARK MEADOWS RD, CHULA VISTA, CA 91915-1413
(619) 988-0357
Mailing address
1054 PARK MEADOWS RD, CHULA VISTA, CA 91915-1413
(619) 988-0357
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95037152
CA
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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