Elaine R Bautista
Medical Specialty
Professional ID
- NPI: 1790953222
- PECOS ID: 2365528973
- Enrollment ID: I20080324000467
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2007
Hospital Service
- Hospital CCN1: 050573
- Business Name (LBN)1: Eisenhower Medical Center
Medical Practices
- Organization Name: Eisenhower Medical Center
- Group Practice ID assigned by PECOS: 5890689657
- Number of Group Practice member: 251
Location
Location
- Address1: 72201 Country Club Dr
- Address2:
- City: Rancho Mirage
- State: California
- Zip Code: 92270
- Phone Number: (760)340-5999
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):