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BAUTISTA, JOSE LUZA III
Practice Address: 274 W. BADILLO ST.
COVINA CA 91723

Address last updated on 3/5/2012
Phone #: (626) 665-6704
Fax #:
County: NOT OKLAHOMA
License: 22330
Dated: 4/10/2001
Expires: 4/1/2013
License Type: Medical Doctor
Specialty: General Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of The Philippines Sys, Coll Of Med, Manila, Philippines
Graduated: 3 / 1972
CME Year: 2013
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
274 W. BADILLO ST.
COVINA CA 91723

Phone #: (626) 665-6704
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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