Provider Information
Last Updated : May 3 2024 11:12 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. |
Physician ID MC49000317 |
Language 1 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 Yes |
PPG NAME LASALLE MEDICAL ASSOCIATES |
Clinic Service Type FQHC |
PPG ID MFRH6 |
NPI Number 1134119308 |
Access Requirement Basic |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
EXAMROOM_IND E |
License ID A043293 |
Board Certified No |
Office Language Spanish |
Self Access Flag Facility Site Database |
PHY CCT IND N |