CATALINO J BAUTISTA III, MD, Diagnostic Radiology LOMA LINDA, CA

Contact Information

CATALINO J BAUTISTA III, MD

11234 ANDERSON ST
LOMA LINDA, CA 92354-2804

Phone: 909-558-4000
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Vascular & Interventional Radiology	2085R0204X	94	Physician/Interventional Radiology

Indicates primary specialty

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NPI Profile & details for CATALINO J BAUTISTA III · (Male)

NPI #	`1669969234`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	04/18/2018
Last updated	09/10/2024 - More than a year ago
Sole proprietor ¹	No
Identifiers	IL License # 036089064 IN License # 01093650A
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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