Bautista Medical Group Southern California, Inc.
NPI #1629101340 in Fillmore, California
Provider Information
- NPI Number
- 1629101340
- Entity Type
- Organization
- Organization Name
- Bautista Medical Group Southern California, Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 13, 2007
- Last Updated
- Jan 31, 2023
Practice Location
- Address
- 427 CENTRAL AVE
- City
- Fillmore
- State
- California
- ZIP Code
- 93015
- Phone
- (805) 524-0777
Authorized Official
- Name
- DR. JOSE LUIS BAUTISTA, MD
- Title
- INTERNIST
- Phone
- (805) 524-2559
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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