Organization
JAMES P TASTO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENEE HARDESTY (LVN)
(619) 229-5018
Entity
Organization
Contact information
Practice address
6719 ALVARADO RD, SUITE 200, SAN DIEGO, CA 92120-5270
(619) 229-5018
(619) 229-2968
Mailing address
6719 ALVARADO RD, SUITE 200, SAN DIEGO, CA 92120-5270
(619) 229-5018
(619) 229-2968
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0071970
—
CA
01
—
ZZZ45476Z
BLUE SHIELD ID#
CA
Enumeration date
08/01/2006
Last updated
02/05/2013
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