Bautista, Jose Luza
Bautista, Jose Luza is an sole proprietor health care provider with primary practice located at 2716 S Erin Ct , Walnut CA 91789-4638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bautista, Jose Luza can be contacted via phone (626) 665-6704.Contact Information
Primary practice address
2716 S Erin Ct
Walnut CA 91789-4638
Phone: (626) 665-6704
Fax: (626) 337-1231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A35250 | California |
Profile Details
| NPI number | 1063514487 |
|---|---|
| LBN Legal business name | Bautista, Jose Luza |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063514487 | NPPES |
| California | MEDICAID | 00A352500 |
Popular Providers
-
Ting, Vivian
1776 Ygnacio Valley Rd Ste 202, Walnut Creek CA 94598-3125 -
Deboisblanc, Michael W
2637 Shadelands Dr , Walnut Creek CA 94598-2512 -
Chan, Jennifer Olivia
2637 Shadelands Dr , Walnut Creek CA 94598-2512 -
Skaric, Nicolas C
2121 Ygnacio Valley Rd Suite E204, Walnut Creek CA 94598-3383 -
Oommen, Samuel S
1479 Ygnacio Valley Rd # 200 , Walnut Creek CA 94598 -
Otero, Fernando R
2637 Shadelands Dr , Walnut Creek CA 94598-2512 -
Savitz, Alison C
1425 S Main St Surgery Dept, Kaiser Permanente, Walnut Creek CA 94596-5318 -
Moy, Jason Frederick
2637 Shadelands Dr , Walnut Creek CA 94598-2512