Dr Jose Luza Bautista Iii, MD is a
Surgery physician based in Walnut, California. Dr Jose Luza Bautista Iii is licensed to practice in California (license number A35250) and his current practice location is 2716 S Erin Ct, Walnut, California. He can be reached at his office (for appointments etc.) via phone at
(626) 665-6704.
NPI number for Dr Jose Luza Bautista Iii is 1063514487 and his current mailing address is 1300 S Sunset Ave, West Covina, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063514487.
Physician's Profile
| Full Name | Dr Jose Luza Bautista Iii |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 2716 S Erin Ct, Walnut, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063514487
- Provider Enumeration Date: 09/05/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jose Luza Bautista Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063514487 | NPI | - | NPPES |
| 00A352500 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | A35250 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jose Luza Bautista Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jose Luza Bautista Iii, MD
1300 S Sunset Ave,
West Covina, CA 91790-3342
Ph: (626) 960-6999 | Dr Jose Luza Bautista Iii, MD
2716 S Erin Ct,
Walnut, CA 91789-4638
Ph: (626) 665-6704 |
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