Individual provider · Type 1 NPI
Joe Luis Pantoja, MD
Vascular Surgery Physician · Moreno Valley, CA
NPI number
1174985121
Active
Practice location
27200 Iris Ave # MOB2
Moreno Valley, CA 92555-4803
Other practice locations
- 10800 Magnolia Ave, Riverside, CA 92505-3043 · (951) 897-5671
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | A152945 (CA) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Another provider at this address
About NPI 1174985121
Joe Luis Pantoja, MD's National Provider Identifier is 1174985121, issued on Mar 28, 2016. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Moreno Valley, CA. The record was last updated on Sep 18, 2024.