Organization
MICHAELBASTANIDPM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BASTANI DPM (CEO)
(917) 675-1045
Entity
Organization
Contact information
Practice address
18124 CULVER DR STE C, IRVINE, CA 92612-2729
(917) 676-1045
Mailing address
215 STONECLIFFE AISLE, IRVINE, CA 92603-5724
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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