MARIA C BAUTISTA MD INC
Osteopathic Medicine at Avenue Of Industry, San Diego, CA

License number
California A41768
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. MARIA CORAZON BAUTISTA M.D.
Title: PRESIDENT
Phone: (858) 722-4779
Address
Address 2
11878 Avenue Of Industry, San Diego, CA 92128
PO Box 1770, La Mesa, CA 91944
National Provider ID: 1215036462
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARIA C. BAUTISTA, MD, INC

PO Box 500114, San Diego, CA 92150

Industry:
Medical Doctor's Office
Registration:
Aug 15, 1994
State ID:
C1911391
Business type:
Articles of Incorporation
President:
Maria C. Bautista (President)
Agent:
Maria C Bautista,San Diego, CA 92128 (Physical)

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