NPI | 1487634317 |
---|---|
Doing Business As | BAUTISTA RESEARCH MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | JOSE LUIS BAUTISTA Medical Director 559-445-0391 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA16817) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A84959) |
207R00000X Internal Medicine (Licence: CA A43293) | |
363A00000X Physician Assistant (Licence: CA PA13143) | |
208D00000X General Practice (Licence: CA A97270) | |
207Q00000X Family Medicine | |
Enumeration Date | 2006-01-18 |
Last Update Date | 2020-08-22 |