Individual
MR. DAVID B BAGTAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4059 E OLYMPIC BLVD, LOS ANGELES, CA 90023-3330
(323) 881-2675
(323) 881-2615
Mailing address
405 W ELK AVE APT 1, GLENDALE, CA 91204-1521
(818) 637-2661
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95002284
CA
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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