Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daisy I Bautista, MD, a Medical Corporation

Organization Pediatrics Physician · NPI 1689691537

Daisy I Bautista, MD, a Medical Corporation is a Pediatrics Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1930 Wilshire Blvd Ste 803
Los Angeles, CA 90057-3605
Phone: (213) 483-3968
Fax: (213) 483-3495
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A36896 (CA)
General Practice Physician Taxonomy 208D00000X · Licence A36896 (CA)

Record details

NPI number1689691537
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daisy Bautista — President Owner · (213) 483-3968
Other names Holy Mary Medical Clinic
NPI enumeratedJuly 16, 2006
Last updated in NPPESJune 12, 2014
Mailing address1930 Wilshire Blvd, Ste. 803, Los Angeles, CA 90057-3605

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