Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARIVIC A BAUTISTA, MD
Active Sole ProprietorMARIVIC A BAUTISTA, MD is a Adolescent Medicine healthcare provider located in LOS ANGELES, California. NPI 1760680243 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · LOS ANGELES, CA
Registration Details
- NPI Number
- 1760680243
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 6, 2007 (19.124336500712 yrs)
- Last Updated
- Apr 4, 2024
- License
-
A100478 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5427 WHITTIER BLVDLOS ANGELES, CA, 900224101Browse CA providers · Browse ZIP 90022
- Phone
- 8884999303
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Other Adolescent Medicine Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| DR. GEMORSITA M. TENAZAS | M.D. | 1780615930 |
| LYDIA MARIE GREEN | M.D. | 1952336752 |
| DR. GARRY TUMIN | M.D. | 1598783144 |
| DR. JEFFREY STEVEN HARRIS | M.D. | 1083626543 |
| DR. MARIA EIPE | D.O. | 1659482107 |
| PAYMON BANAFSHE | D.O. | 1346341575 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.