Organization
MALE FERTILITY & SEXUAL MEDICINE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN DAVID BASTUBA MD (OWNER)
(619) 286-3520
Entity
Organization
Contact information
Practice address
6699 ALVARADO RD STE 2207, SAN DIEGO, CA 92120-5240
(619) 286-3520
(619) 265-1429
Mailing address
6699 ALVARADO RD STE 2207, SAN DIEGO, CA 92120-5240
(619) 286-3520
(619) 265-1429
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G76872
CA
Other
Enumeration date
09/25/2006
Last updated
09/21/2010
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