JOHN BAUTISTA

SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

Dr JOHN BAUTISTA is a male medical professional, specializing in Internal Medicine. He graduated in 2013 from University Of Utah School Of Medicine.

Contact

SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

4647 ZION AVE
SAN DIEGO
CA
921202507

Tel: 6195285000

JOHN BAUTISTA Information

Npi 1437593878
Pac Id 4789970070
Professional Enrollment Id I20160913001698
Last Name BAUTISTA
First Name JOHN
Middle Name
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year 2013
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Group Practice Pac Id 6002729175
Number Of Group Practice Members 8118
Line 1 Street Address 4647 ZION AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SAN DIEGO
State CA
Zip Code 921202507
Phone Number 6195285000
Hospital Affiliation Ccn 1 050515
Hospital Affiliation Lbn 1 KAISER FOUNDATION HOSPITAL - ZION
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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