Leonard Ralph Bautista, MPT | |
295 E 3rd St, Long Beach, CA 90802-3141 | |
(562) 435-1699 | |
Not Available |
Full Name | Leonard Ralph Bautista |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 21 Years |
Location | 295 E 3rd St, Long Beach, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801083639 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 32007 (California) | Primary |
Provider Name | Balance And Motion Physical Therapy |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1881247187 PECOS PAC ID: 1759701840 Enrollment ID: O20201012000132 |
Mailing Address | Practice Location Address |
---|---|
Leonard Ralph Bautista, MPT 525 W 214th St, Carson, CA 90745-1924 Ph: () - | Leonard Ralph Bautista, MPT 295 E 3rd St, Long Beach, CA 90802-3141 Ph: (562) 435-1699 |
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