# BASTANCHURY HEIGHTS MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bastanchury Heights Medical Group, Center for Women's Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972664258
- **Authorized official:** DR. NICHOLAS THANOS M.D. (PRESIDENT)
- **Authorized official phone:** (714) 990-2900

## Contact information

- **Practice address:** 2264 N STATE COLLEGE BLVD, FULLERTON, CA 92831-1361
- **Practice address phone:** (714) 255-7045
- **Practice address fax:** (714) 256-4733
- **Mailing address:** 2264 N STATE COLLEGE BLVD, FULLERTON, CA 92831-1361
- **Mailing address phone:** (714) 255-7045
- **Mailing address fax:** (714) 256-4733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | CA | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 09/20/2010