Search › California › 207QA0505X
Marivic Bautista, MD
NPI 1760680243 · on the registry since 2007 · sole proprietor
Practice
- Address
- 5427 Whittier Blvd
Los Angeles, CA 90022 - Phone
- (888) 499-9303
- Organisation at this address
- Altamed Health Services Corp
United Medical Imaging Healthcare, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 45
Registry record
- Primary taxonomy
- 207QA0505X
207QA0505X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California