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Daisy I .bautista, Md, A Medical Corporation
General Practice Physician in Los Angeles, California
NPI 1689691537

Daisy I .bautista, Md, A Medical Corporation is a General Practice Physician based in Los Angeles, CA. Daisy I .bautista, Md, A Medical Corporation practices in Los Angeles, CA. The NPI Number for Daisy I .bautista, Md, A Medical Corporation is 1689691537 and holds a License No. A36896 (California).

The current practice location address for Daisy I .bautista, Md, A Medical Corporation 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, 90057-3605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689691537
Provider Name
Daisy I .bautista, Md, A Medical Corporation
Credential
Provider Entity Type
Organization
Address
1930 Wilshire Blvd, Los Angeles, CA, 90057-3605
Phone Number
213-483-3968
Fax Number
213-483-3495
Provider Enumeration Date
07/16/2006
Last Update Date
03/12/2024
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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
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
A36896 (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 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
A36896 (California)
Definition
Definition to come...
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