Bautista, Marivic A
Bautista, Marivic A is an sole proprietor health care provider with primary practice located at 5427 Whittier Blvd , Los Angeles CA 90022-4101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Bautista, Marivic A can be contacted via phone (888) 499-9303.Contact Information
Primary practice address
5427 Whittier Blvd
Los Angeles CA 90022-4101
Phone: (888) 499-9303
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | A100478 | California |
Profile Details
| NPI number | 1760680243 |
|---|---|
| LBN Legal business name | Bautista, Marivic A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2007 |
| Last updated | Apr 4th, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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