Organization
MICHAEL JAROSLAV STASTNY, DPM, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAROSLAV STASTNY DPM (PRESIDENT)
(714) 334-5795
Entity
Organization
Contact information
Practice address
3180 COLIMA RD STE A, HACIENDA HEIGHTS, CA 91745-6315
(626) 961-1882
Mailing address
576 ARCHWOOD AVE, BREA, CA 92821-2707
(714) 334-5795
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5216
CA
Other
Enumeration date
07/26/2017
Last updated
11/02/2023
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