Individual
MICHAEL BASTANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
18124 CULVER DR STE F, IRVINE, CA 92612-2729
(949) 552-9393
(949) 552-9394
Mailing address
18124 CULVER DR STE F, IRVINE, CA 92612-2729
(949) 552-9393
(949) 552-9394
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5477
CA
Other
Enumeration date
06/22/2015
Last updated
10/12/2021
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