Individual
EILEEN BASTIAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7300 MEDICAL CENTER DR, EMERGENCY DEPARTMENT, WEST HILLS, CA 91307-1902
(818) 676-4000
Mailing address
4551 GLENCOE AVE, SUITE 260, MARINA DEL REY, CA 90292-6385
(310) 301-2030
(310) 306-5247
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G72298
CA
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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