DAISY I .BAUTISTA, MD, A MEDICAL CORPORATION is a pediatrics in Los Angeles, CA. The provider is 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. DAISY I .BAUTISTA, MD, A MEDICAL CORPORATION NPI is 1689691537. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Holy Mary Medical Clinic.
The provider's business location address is:
1930 WILSHIRE BLVD
STE. 803
LOS ANGELES, CA
ZIP 90057-605
Phone: (213) 483-3968
Fax: (213) 483-3495
The provider's authorized official is Daisy Ibanez Bautista .
The authorized official title is President Owner and has the following contact phone number (213) 483-3968.
The CLIA number assigned to this NPI record is 05D0856347 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/16/2006 and was last updated on 6/12/2014.