Organization
BAUTISTA FAMILY FOOT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BAUTISTA DPM (PODIATRIST)
(909) 591-4035
Entity
Organization
Contact information
Practice address
5343 RIVERSIDE DR, CHINO, CA 91710-4252
(909) 591-4035
Mailing address
5343 RIVERSIDE DR, CHINO, CA 91710-4252
(909) 591-4035
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
5238870001
CA
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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