Raymundo S Bautista, Md, Prof Corp
NPI #1023143427 in Glendora, California
Provider Information
- NPI Number
- 1023143427
- Entity Type
- Organization
- Organization Name
- Raymundo S Bautista, Md, Prof Corp
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- Feb 23, 2007
- Last Updated
- Aug 31, 2012
Practice Location
- Address
- 118 W FOOTHILL BLVD
- City
- Glendora
- State
- California
- ZIP Code
- 91741-3364
- Phone
- (626) 914-3871
Authorized Official
- Name
- RAYMUNDO SEVILLA BAUTISTA, M.D.
- Title
- PRESIDENT
- Phone
- (626) 914-3871
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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