Daisy I .bautista, Md, A Medical Corporation

Pediatrics

Daisy I .bautista, Md, A Medical Corporation is a Los Angeles, California based Pediatric center with medical specialization in General Pediatrics. Daisy I .bautista, Md, A Medical Corporation is doing business as Holy Mary Medical Clinic. It is located at 1930 Wilshire Blvd, Ste. 803, Los Angeles, California - 90057-3605. They can be contacted on phone at 213-483-3968 and fax number 213-483-3495.
NPI number (Unique professional ID) for Daisy I .bautista, Md, A Medical Corporation is 1689691537 which was assigned by NPPES on 16 Jul, 2006 and it was last updated on 12 Jun, 2014. Daisy I .bautista, Md, A Medical Corporation license number is A36896 for Pediatrics (208000000X) in California.
Daisy I .bautista, Md, A Medical Corporation is a pediatrician who 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.
Complete Profile:
Daisy I .bautista, Md, A Medical Corporation basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Daisy I .bautista, Md, A Medical Corporation
Other Name :Holy Mary Medical Clinic
Business Address:
Daisy I .bautista, Md, A Medical Corporation address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :1930 Wilshire Blvd, Ste. 803
Los Angeles, CA, 90057-3605
United States
Phone Number :213-483-3968
Fax Number :213-483-3495
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1689691537
NPI Entity Type : Organization
First Enrolment Date : 16 Jul, 2006
Last Updated On : 12 Jun, 2014
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
Authorized Official Name :Daisyibanez Bautista
Authorized Official Credential :M.D.
Official Title or Position :PRESIDENT OWNER
Phone Number :213-483-3968
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Daisy I .bautista, Md, A Medical Corporation are as mentioned. Primary taxonomy code for Daisy I .bautista, Md, A Medical Corporation is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208D00000XGeneral PracticeNoA36896CA
208000000XPediatricsYesA36896CA
Legacy Identifiers:
Other legacy medical identifiers of Daisy I .bautista, Md, A Medical Corporation such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
F84330MEDICAIDCA
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :1930 Wilshire Blvd, Ste. 803
Los Angeles, CA, 90057-3605
United States
Phone Number :213-483-3968
Fax Number :213-483-3495
Business Location:
Patients can refer following map for directions to Daisy I .bautista, Md, A Medical Corporation practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.