person
Luis Oscar Bautista, MD
Student in an Organized Health Care Education/Training Program in Fontana, California
NPI 1548965957

Luis Oscar Bautista is a Student in an Organized Health Care Education/Training Program based in Riverside, CA. Luis Oscar Bautista practices in Fontana, CA and has the professional credentials of MD. The NPI Number for Luis Oscar Bautista is 1548965957 and holds a License No. (California).

The current practice location address for Luis Oscar Bautista is 15309 Athol St, Fontana, CA and can be reached out via phone at 909-910-8855.

Location: 15309 Athol St, Fontana, CA, 92518-3035
person
Provider Profile Details
NPI Number
1548965957
Provider Name
Luis Oscar Bautista
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15309 Athol St, Fontana, CA, 92518-3035
Phone Number
909-910-8855
Fax Number
Provider Enumeration Date
04/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15309 Athol St
City
State
Zip
92335-4351
Phone Number
909-910-8855
Fax Number
person
Provider Business Mailing Address Details
Address
15309 Athol St
City
State
Zip
92335-4351
Phone Number
909-910-8855
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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