Provider Information

Last Updated : Jul 26 2024 11:08 AM

Juan G Bautista




City
Fresno
Group
LASALLE MEDICAL ASSOCIATES
Specialty
General Practice
Last Name
Bautista
First Name
Juan
Middle Name
G
Address
2900 Fresno St. Ste 100
State
CA
Zip Code
93721
Phone
(559)499-0520
Hours
Mon - Fri 8:00 AM - 4:30 PM
Gender
M
Title
M.D.
Physician ID
199393
Language 1
Spanish
Extender 1 Last Name
Alvarez
Extender 1 First Name
Eliezer
Extender 1 License Type
P.A.
Extender 2 Last Name
Garnica
Extender 2 First Name
Diana
Extender 2 Middle Name
C
Extender 2 License Type
NP
Section Number
1
County
FRESNO
Accepting New Patient
Yes
PPG NAME
LASALLE MEDICAL ASSOCIATES
PPG ID
MFRF7
NPI Number
1164713194
Access Requirement
Limited
PARKING_IND
P
INT_BUILD_IND
IB
EXAMROOM_IND
E
License ID
A122998
Board Certified
No
Self Access Flag
Facility Site Database
PHY CCT IND
Y

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