Jorge O Bautista PA C

NPI 1336254705 - Family Medicine - 207Q00000X

NPI Details
NPI 1336254705
Gender Male
Enumeration Date 08/19/2006
Last Updated 08/28/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
427 CENTRAL AVE
FILLMORE CA, 93015-1329, US
Phone (805) 524-2559
Fax (805) 524-2596
Business Location
552 SESPE AVE
FILLMORE CA, 93015-1957, US
Phone (805) 524-2559
Fax (805) 524-2596
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number PA15385
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According to our database, Mr. Jorge O Bautista PA C NPI is 1336254705, taxonomy code is 207Q00000X and license number is PA15385, license state is located at California. Jorge O Bautista PA C physically located at 427 Central Ave, Fillmore CA, 93015-1329. NPI Number Jorge O Bautista PA C has the Individual type.

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1336254705 NPI number is provided on an as is basis without warranty of any kind. 1336254705 is maintained by the National Plan & Provider Enumeration System. The contents of Jorge O Bautista PA C are for informational purposes only.