Individual
ASHCON ALEXANDER BASTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADT
Contact information
Practice address
20302 FLANAGAN ROAD, TRABUCO CANYON, CA 92679
(818) 582-8832
(818) 582-8836
Mailing address
24131 PUERTA DE LUZ, MISSION VIEJO, CA 92691-4331
(949) 584-8010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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