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Dr. Daisy Ibanez Bautista, MD
Family Medicine Physician in Los Angeles, California
NPI 1306856992

Daisy Ibanez Bautista is a Family Medicine Physician based in Glendale, CA. Daisy Ibanez Bautista practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Daisy Ibanez Bautista is 1306856992 and holds a License No. A368969 (California).

The current practice location address for Daisy Ibanez Bautista is 1930 Wilshire Blvd, Los Angeles, CA and can be reached out via phone at 213-483-3968 and via fax at 213-483-3495.

Location: 1930 Wilshire Blvd, Los Angeles, CA, 91203-2976
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306856992
Provider Name
Daisy Ibanez Bautista
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1930 Wilshire Blvd, Los Angeles, CA, 91203-2976
Phone Number
213-483-3968
Fax Number
213-483-3495
Provider Enumeration Date
08/08/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F84330 05 CA
institution
Provider Business Practice Location Address Details
Address
1930 Wilshire Blvd
City
Los Angeles
State
California
Zip
90057-3605
Phone Number
213-483-3968
Fax Number
213-483-3495
person
Provider Business Mailing Address Details
Address
1930 Wilshire Blvd
City
Los Angeles
State
California
Zip
90057-3605
Phone Number
213-483-3968
Fax Number
213-483-3495
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
A36896 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
A368969 (California)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
A368969 (California)
Definition
Definition to come...
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