Portia Gerardo Bautista in Vallejo - Clinical
Portia Gerardo Bautista - NPI 1700937273
Portia Gerardo Bautista is a Clinical in Vallejo, California. Portia Gerardo Bautista practices all healthcare services and medical treatments related to Clinical. The NPI Number for Portia Gerardo Bautista is 1700937273. The last update date is 2007-07-08.
Portia Gerardo Bautista's current location address is 333 Beston Way, Vallejo, California. You can contact this provider via phone number 7076441358 and fax number 7075540621. The mailing address for Portia Gerardo Bautista is 333 Beston Way, Vallejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Portia Gerardo Bautista |
|---|---|
| Address | 333 Beston Way, Vallejo, California |
| Phone Number | 7076441358 |
| Fax Number | 7075540621 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1700937273 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 333 Beston Way |
|---|---|
| City | Vallejo |
| State | California (CA) |
| Post Code | 945917205 |
| Phone Number | 7076441358 |
| Fax Number | 7075540621 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS7310 |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Portia Gerardo Bautista?
The Portia Gerardo Bautista has been issued the NPI (National Provider Identifier) 1700937273 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Portia Gerardo Bautista is physically located?
The Portia Gerardo Bautista is situated at the following address: 333 Beston Way, Vallejo, CA 945917205.
What is the area of specialization for Portia Gerardo Bautista, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Portia Gerardo Bautista is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Portia Gerardo Bautista receive its 1700937273 assignment from the Centers for Medicare & Medicaid Services?
The Portia Gerardo Bautista was assigned its 1700937273 by the Centers for Medicare & Medicaid Services on 2007-01-12.
As of what date were the details pertaining to Portia Gerardo Bautista last refreshed?
The information related to the Portia Gerardo Bautista, including its address, specialty, and other relevant details, was last updated on 2007-07-08.