MR. Jorge O Bautista, PA

NPI #1336254705 in Fillmore, California

Provider Information

NPI Number: 1336254705
Entity Type: Individual
Name: MR. Jorge O Bautista, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 19, 2006
Last Updated: Mar 1, 2024

Practice Location

Address: 427 CENTRAL AVE
City: Fillmore
State: California
ZIP Code: 93015-1329
Phone: (805) 524-2559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Physician Assistant	363A00000X	Primary

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