Individual
DAVID W VASTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
491 30TH ST, STE 101, OAKLAND, CA 94609-3235
(510) 444-0603
(510) 444-6046
Mailing address
491 30TH ST, STE 101, OAKLAND, CA 94609-3235
(510) 444-0603
(510) 444-6046
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G179660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G179660
—
CA
05
—
00G179661
—
CA
Enumeration date
12/08/2005
Last updated
09/05/2013
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