AZAR S BASTANFAR

LA JOLLA, CA
NPI1265459184
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  9526)
Additional Taxonomies363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: CA  538431)
Enumeration Date2006-07-16
Last Update Date2011-08-15
Business Address
-- AZAR S BASTANFAR Certified Nurse Prac
9850 GENESEE AVE SUITE 600
LA JOLLA, CA 92037-1207
Phone number: 858-453-0753
Mailing Address
-- AZAR S BASTANFAR Certified Nurse Prac
FILE #54433
LOS ANGELES, CA 90074-4433
Phone number: 858-784-5888