JOE LUIS PANTOJA MD NPI 1174985121

NPI Information

NPI: 1174985121
Provider Name: JOE LUIS PANTOJA, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Address:
11201 BENTON ST
LOMA LINDA, CA
ZIP 92357
Phone: (909) 825-7084
Get Directions

Joe Luis Pantoja, MD is a vascular surgery surgery in Loma Linda, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Joe Luis Pantoja, MD NPI is 1174985121. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11201 BENTON ST
LOMA LINDA, CA
ZIP 92357-358
Phone: (909) 825-7084

The enumeration date for this NPI number is 3/28/2016 and was last updated on 12/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	A152945	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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