HOLY MARY MEDICAL CLINIC
NPI 1689691537
Pediatrics in Los Angeles, CA

Active since July 16, 2006
1930 WILSHIRE BLVD, STE. 803, LOS ANGELES, CA 90057(213) 483-3968(213) 483-3495 Get Directions Write a Review

NPPES record last updated: June 12, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Holy Mary Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLY MARY MEDICAL CLINIC (NPI 1689691537) is a healthcare organization registered as a pediatrics in Los Angeles, California and active in the NPI registry since July 2006. The organization lists Daisy Ibanez Bautista, President Owner, as its authorized official.

NPPES Registry Identity

NPI1689691537
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDAISY I .BAUTISTA, MD, A MEDICAL CORPORATION
Location Address1930 WILSHIRE BLVD, STE. 803Los Angeles, CA 90057-3605
Mailing Address1930 Wilshire Blvd, Ste. 803Los Angeles, CA 90057-3605 · (213) 483-3968 · Fax (213) 483-3495
Fax(213) 483-3495
Organization SubpartNo
Authorized OfficialDaisy Ibanez BautistaPresident Owner · (213) 483-3968
Enumeration DateJuly 16, 2006
Last NPPES UpdateJune 12, 2014
NPI 1689691537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · A36896
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedGeneral PracticeTaxonomy 208D00000X · License A36896 (CA)
1930 WILSHIRE BLVD, Los Angeles, CA 90057

Other Names 1

Doing Business AsHoly Mary Medical Clinic

Other Identifiers 3

MedicaidF84330CA
Medicare UPINF84330
Medicare ID-Type Unspecified00A368961CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
1930 WILSHIRE BLVD, SUITE 600
LOS ANGELES, CA 90057
Acupuncturist
1930 WILSHIRE BLVD, SUITE 600
LOS ANGELES, CA 90057
Family Medicine
1930 WILSHIRE BLVD, SUITE 600
LOS ANGELES, CA 90057
General Practice
1930 WILSHIRE BLVD, SUITE 600
LOS ANGELES, CA 90057
Orthopaedic Surgery
1930 WILSHIRE BLVD, SUITE 600
LOS ANGELES, CA 90057
Clinic/Center (Physical Therapy)
1930 WILSHIRE BLVD, SUITE 1007
LOS ANGELES, CA 90057
Family Medicine
1930 WILSHIRE BLVD, #803
LOS ANGELES, CA 90057
Pharmacy (Community/Retail Pharmacy)
1930 WILSHIRE BLVD, STE 1934
LOS ANGELES, CA 90057

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daisy I .Bautista, MD, A Medical Corporation's NPI number?

The NPI number for Daisy I .Bautista, MD, A Medical Corporation is 1689691537. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Holy Mary Medical Clinic.

Where is Daisy I .Bautista, MD, A Medical Corporation located?

Daisy I .Bautista, MD, A Medical Corporation is located at 1930 Wilshire Blvd Ste. 803, Los Angeles, CA 90057. The listed phone number is (213) 483-3968.

What is Daisy I .Bautista, MD, A Medical Corporation's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Daisy I .Bautista, MD, A Medical Corporation was last updated on June 12, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.