BAUTISTA MEDICAL GROUP SOUTHERN CALIFORNIA INC. NPI 1629101340

NPI Information

BAUTISTA MEDICAL GROUP SOUTHERN CALIFORNIA, INC. is a family medicine in Fillmore, CA. The provider is 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. BAUTISTA MEDICAL GROUP SOUTHERN CALIFORNIA, INC. NPI is 1629101340. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

427 CENTRAL AVE
FILLMORE, CA
ZIP 93015
Phone: (805) 524-0777
Fax: (805) 524-0111

The provider's authorized official is Jose Luis Bautista .
The authorized official title is Internist and has the following contact phone number (805) 524-2559.

The CLIA number assigned to this NPI record is 05D0998466 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 1/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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