Most Relevant Information
Provider Data
| NPI Number: | 1003460239 |
| Provider Name: | LOREMEA BAUTISTA |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0808X |
| Specialty: | Registered Nurse |
| License Number: | 639444 |
Most Important Dates
| Enumeration Date: | 07/25/2019 |
| Last Updated: | 07/25/2019 |
Provider Practice Location
5901 E 7TH ST
LONG BEACH
CA
908225201
Practice Location Phone/Fax
| Phone: | 5628268000 |
| Fax: |
Provider Mailing Location
10740 PICO VISTA RD
DOWNEY
CA
902413057
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |