Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Marlo Bautista, RN

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1528303914

Mr. Marlo Bautista, RN is a Psychiatric/Mental Health Registered Nurse in Long Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

3205 N Lakewood Blvd
Long Beach, CA 90808-1733
Phone: (562) 570-7119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 594890 (CA)

Record details

NPI number1528303914
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedDecember 11, 2012
Last updated in NPPESDecember 11, 2012
Mailing address1056 Belmont Ave Apt 203, Long Beach, CA 90804-5938

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