# MICHAEL JAROSLAV STASTNY, DPM, A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780108381
- **Authorized official:** DR. MICHAEL JAROSLAV STASTNY DPM (PRESIDENT)
- **Authorized official phone:** (714) 334-5795

## Contact information

- **Practice address:** 3180 COLIMA RD STE A, HACIENDA HEIGHTS, CA 91745-6315
- **Practice address phone:** (626) 961-1882
- **Mailing address:** 576 ARCHWOOD AVE, BREA, CA 92821-2707
- **Mailing address phone:** (714) 334-5795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E5216 | CA | Yes |

## Other

- **Enumeration date:** 07/26/2017
- **Last updated:** 11/02/2023