DAISY IBANEZ BAUTISTA

LOS ANGELES, CA
NPI1306856992
Professional NameMARIA BAUTISTA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A36896)
Additional Taxonomies208000000X Pediatrics
(Licence: CA  A368969)
208D00000X General Practice
(Licence: CA  A368969)
Enumeration Date2006-08-08
Last Update Date2024-07-23
Business Address
Dr. DAISY IBANEZ BAUTISTA MD
1930 WILSHIRE BLVD #803
LOS ANGELES, CA 90057-3605
Phone number: 213-483-3968
Mailing Address
Dr. DAISY IBANEZ BAUTISTA MD
465 SALEM ST APT 104
GLENDALE, CA 91203-2976
Phone number: 213-399-4451