Provider Information

Last Updated : Aug 26 2025 11:07 AM

Jose L Bautista




City
Fresno
Group
LASALLE - OMNI FAMILY HEALTH MERCED ST
Specialty
Internal Medicine
Last Name
Bautista
First Name
Jose
Middle Name
L
Address
2505 Merced St
State
CA
Zip Code
93721
Phone
(866)707-6664
Hours
Mon - Fri 8:00 AM - 5:00 PM
Gender
M
Title
M.D.
Language 1
English
Language 2
Spanish
Certification
CHDP
Extender 1 Last Name
Mercado
Extender 1 First Name
Edgar
Extender 1 License Type
P.A.
Section Number
1
County
FRESNO
Accepting New Patient
No
PPG NAME
LASALLE MEDICAL ASSOCIATES
Clinic Service Type
FQHC
PPG ID
MFRH6
NPI Number
1134119308
License ID
A043293
Board Certified
No
Office Language
Spanish
PHY CCT IND
N

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