LUIS OSCAR BAUTISTA

RIVERSIDE, CA
NPI1548965957
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA  A197498)
Enumeration Date2023-04-04
Last Update Date2026-06-18
Business Address
LUIS OSCAR BAUTISTA MD
14350 MERIDIAN PKWY STE 2
RIVERSIDE, CA 92518-3035
Phone number: 909-910-8855
Mailing Address
LUIS OSCAR BAUTISTA MD
14350 MERIDIAN PKWY STE 2
RIVERSIDE, CA 92518-3035
Phone number: 909-910-8855