IndividualActive
Diego Bautista
NPI 1629535604 · Electroneurodiagnostic Specialist/Technologist · Beverely Hills, CA
Provider details
- NPI number
- 1629535604
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
324 S Beverly Drive #214
Beverely Hills, CA 90212
Phone: (303) 922-4636
Fax: (303) 922-4640
Mailing address
4177 Isabella Cir
Lake Elsinore, CA 92530-2032
Registry dates
- Enumerated
- 2019-02-26
- Last updated
- 2019-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.