BAUTISTA MEDICAL GROUP

FRESNO, CA
NPI1487634317
Doing Business AsBAUTISTA RESEARCH MEDICAL CLINIC
Entity TypeOrganization
Authorized ContactJOSE LUIS BAUTISTA
Medical Director
559-445-0391
Organization Subpart ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA16817)
Additional Taxonomies208000000X Pediatrics
(Licence: CA  A84959)
207R00000X Internal Medicine
(Licence: CA  A43293)
363A00000X Physician Assistant
(Licence: CA  PA13143)
208D00000X General Practice
(Licence: CA  A97270)
207Q00000X Family Medicine
Enumeration Date2006-01-18
Last Update Date2020-08-22
Business Address
BAUTISTA MEDICAL GROUP
2505 MERCED ST
FRESNO, CA 93721-1811
Phone number: 559-445-0391
Mailing Address
BAUTISTA MEDICAL GROUP
2505 MERCED ST
FRESNO, CA 93721-1811
Phone number: 559-445-0391