Jennifer S. Bautista, MD Valid NPI
Individual provider · Pediatrics Physician · Fontana, CA
- NPI
- 1821169889
- Type
- Individual (Type 1)
- Primary specialty
- Pediatrics Physician (Pediatrics)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208000000X
- License number
- A80780 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-11-13
- Last updated
- 2021-12-02
Practice location
9961 Sierra Ave
Fontana, CA 92335-6720
(909) 427-3910