Individual
DR. LOFTY L BASTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
765 MARKET ST APT 35A, SAN FRANCISCO, CA 94103-2041
(415) 896-5835
Mailing address
765 MARKET ST APT 35A, SAN FRANCISCO, CA 94103-2041
(415) 896-5835
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
52038
CA
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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