Individual provider · Type 1 NPI

Marivic A. Bautista, MD

Adult Medicine Physician · Los Angeles, CA

NPI number 1760680243 Active

Practice location

5427 Whittier Blvd
Los Angeles, CA 90022-4101

Call (888) 499-9303 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XA100478 (CA)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1760680243

Marivic A. Bautista, MD's National Provider Identifier is 1760680243, issued on Jul 6, 2007. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 4, 2024.