Individual
MARIVIC A BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5427 WHITTIER BLVD, LOS ANGELES, CA 90022-4101
(888) 499-9303
Mailing address
5427 WHITTIER BLVD, LOS ANGELES, CA 90022-4101
(888) 499-9303
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A100478
CA
Other
Enumeration date
07/06/2007
Last updated
04/04/2024
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