| NPI | 1952741092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER C BAUTISTA Physician 909-591-4035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4176) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2013-07-03 |