Individual
JOHN NASTASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 W VALENCIA MESA DR # 211, FULLERTON, CA 92835-3768
(714) 778-1032
Mailing address
1211 W LA PALMA AVE STE 505, ANAHEIM, CA 92801-2812
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
56355
CA
363AS0400X
Surgical Physician Assistant
Primary
56355
CA
Other
Enumeration date
04/08/2019
Last updated
12/01/2021
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