Organization
RAYMUNDO S. BAUTISTA M.D. APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMUNDO SEVILLA BAUTISTA M.D. (MEDICAL DIRECTOR)
(626) 839-9100
Entity
Organization
Contact information
Practice address
1523 E AMAR RD, SUITE D, WEST COVINA, CA 91792-1619
(626) 839-9100
(626) 839-9106
Mailing address
1523 E AMAR RD, SUITE D, WEST COVINA, CA 91792-1619
(626) 839-9100
(626) 839-9106
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A52874
CA
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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