Individual
DR. EDITHA BAUTISTA UY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2220 E FRUIT ST STE 111, SANTA ANA, CA 92701
(714) 543-8269
(714) 543-8260
Mailing address
2220 E FRUIT ST STE 111, SANTA ANA, CA 92701
(714) 543-8269
(714) 543-8260
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A30550
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A30550
CA
Other
Enumeration date
11/07/2006
Last updated
01/05/2010
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