| Doctor Name: | ELIZABETH GALLEGOS BAUTISTA |
| NPI Number: | 1609172303 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | NP20189 |
| Business Practice Address: | 11036 Valley Mall El Monte, CA - 91731 |
| Business Phone Number: | 6265758342 |
| Business Fax Number: | 6265751237 |
| Mailing Address: | 9573 Garvey Ave., Suite #17 S. EL MONTE |
| State: | CA |
| Postal Code: | 91733 |
| Phone Number: | 6264541801 |
| Fax Number: | 6264542203 |
| NPI Enumeration Date: | 01/28/2011 |
| NPI Last Update Date: | 01/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | NP20189 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |