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Individual

ASHKAN BASTANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
9 MECKLENBERG, IRVINE, CA 92620-2727
(949) 302-3696
Mailing address
9 MECKLENBERG, IRVINE, CA 92620-2727
(949) 302-3696

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95009760
CA

Other

Enumeration date
10/19/2018
Last updated
04/17/2023
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