Organization
LOFTY L. BASTA, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOFTY L. BASTA M.D. (PRESIDENT)
(415) 982-4500
Entity
Organization
Contact information
Practice address
450 SUTTER STREET, SUITE 1523, SAN FRANCISCO, CA 94108
(415) 982-4500
(415) 896-5836
Mailing address
450 SUTTER STREET, SUITE 1523, SAN FRANCISCO, CA 94103
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C52038
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C52038
LICENSE NUMBER
CA
Enumeration date
01/20/2010
Last updated
03/22/2010
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