Jerry Ballesteros Bulatao
Rehabilitation Practitioner
28406 Silverking Trl
Santa Clarita
, California 91390-5245
Jerry Ballesteros Bulatao
Rehabilitation Practitioner
28406 Silverking Trl
Santa Clarita
, California 91390-5245
(661) 263-8004
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About
Features
Specialties
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Jerry Ballesteros Bulatao
- 28406 Silverking Trl
- Santa Clarita, CA
- Zip : 91390-5245
- Phone : (661) 263-8004
Second Address
- Jerry Ballesteros Bulatao
- 28406 Silverking Trl
- Santa Clarita, CA
- Zip : 91390-5245
- Phone : (661) 263-8004
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Is Jerry Ballesteros Bulatao a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1013130954 |
|---|---|
| Provider Name | Jerry Ballesteros Bulatao |
| First Address | Santa Clarita, CA 91390-5245 |
| Second Address | Santa Clarita, CA 91390-5245 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.