Lord Mark Bautista
Lord Mark Bautista is a Student in an Organized Health Care Education/Training Program in San Francisco, California. Licensed in California. Registered with an NPI since 2025.
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
550 16th St Fl 4San Francisco, CA 94143-2549
Phone: (415) 476-5001
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (CA) |
|---|
Record details
| NPI number | 1205622198 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 16, 2025 |
| Last updated in NPPES | April 13, 2026 |
| Certification date | April 13, 2026 |
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