| NPI | 1689691537 |
|---|---|
| Doing Business As | HOLY MARY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAISY IBANEZ BAUTISTA President Owner 213-483-3968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A36896) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A36896) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2014-06-12 |