Individual
PETER BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24785 STEWART ST STE 204, LOMA LINDA, CA 92350-1721
(909) 558-4594
Mailing address
24785 STEWART ST STE 204, LOMA LINDA, CA 92350-1721
(909) 558-4594
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
A147445
CA
208D00000X
General Practice Physician
A147445
CA
Other
Enumeration date
07/06/2010
Last updated
10/15/2024
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