Cedric M. Bautista M.d., A Medical Corporation

NPI 1124392725 - Surgery - 208600000X

NPI Details
NPI 1124392725
Enumeration Date 02/28/2012
Last Updated 02/28/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CEDRIC M CEDRIC
Position OWNER
Phone (760) 353-6200
Fax (760) 353-9817
Practice Location
1500 S IMPERIAL AVE
EL CENTRO CA, 92243-4241, US
Phone (760) 353-6200
Fax (760) 353-9817
Business Location
PO BOX 2010
EL CENTRO CA, 92244-2010, US
Phone (760) 353-6200
Fax (760) 353-9817
Toxanomy
Taxonomy Code 208600000X
License State California
License Number A37997
Remove 1124392725 NPI Number
 

According to our database, Cedric M. Bautista M.d., A Medical Corporation NPI is 1124392725, taxonomy code is 208600000X and license number is A37997, license state is located at California. Cedric M. Bautista M.d., A Medical Corporation physically located at 1500 S Imperial Ave, El Centro CA, 92243-4241. NPI Number 1033115704 has the healthcare provider type.

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1124392725 NPI number is provided on an as is basis without warranty of any kind. 1124392725 is maintained by the National Plan & Provider Enumeration System. The contents of Cedric M. Bautista M.d., A Medical Corporation are for informational purposes only.