Organization
FAMILY CARE PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAISY I BAUTISTA MD (PRESIDENT & CEO)
(818) 462-4899
Entity
Organization
Contact information
Practice address
4201 WILSHIRE BLVD STE 334, LOS ANGELES, CA 90010-3611
(818) 462-4899
(818) 356-4380
Mailing address
4201 WILSHIRE BLVD STE 334, LOS ANGELES, CA 90010-3611
(818) 462-4899
(818) 356-4380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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