Individual
SEVAG BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1505 WILSON TER STE 310, GLENDALE, CA 91206-4073
(818) 841-3936
Mailing address
1505 WILSON TER STE 310, GLENDALE, CA 91206-4073
(818) 841-3936
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A147241
CA
Other
Enumeration date
05/18/2012
Last updated
07/30/2021
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