Individual provider · NPI-1

Catalino Joshua Bautista III, MD

Radiology, Diagnostic Radiology · Loma Linda, CA

NPI number1669969234
StatusActive
Last updated in NPPESSep 10, 2024

Details

NPI
1669969234
Entity type
Individual (NPI-1)
Name
Catalino Joshua Bautista III
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 18, 2018
Certification date
Sep 10, 2024
Last updated
Sep 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology01093650AINYes
2085R0202X Radiology, Diagnostic Radiology036089064IL
2085R0204X Radiology, Vascular & Interventional Radiology01093650AIN

Practice location

11234 Anderson St
Loma Linda, CA 92354-2804

Phone 909-558-4000

Mailing address

11234 Anderson St
Loma Linda, CA 92354-2804

Phone 909-558-4000

Other practice locations

1000 W Carson St
Torrance, CA 90502-2004

Phone 310-222-2700

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