Organization
BASTION MEDICAL PRACTICE OF CALIFORNIA, P.C.
Active
Other names
BASTION HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN HOUMAN MD (PRESIDENT)
(650) 600-1599
Entity
Organization
Contact information
Practice address
400 FARMINGTON AVE, FARMINGTON, CT 06032-1913
(650) 610-1617
Mailing address
400 FARMINGTON AVE, FARMINGTON, CT 06032-1913
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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