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1407496318
MICHAELBASTANIDPM
IRVINE, CA
NPI
1407496318
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Entity Type
Organization
Authorized Contact
MICHAEL BASTANI
Owner
917-675-1045
Organization Subpart ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
Enumeration Date
2020-01-08
Last Update Date
2020-01-08
Business Address
MICHAELBASTANIDPM
22 ODYSSEY STE 115
IRVINE, CA 92618-3188
Phone number: 424-256-8956
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Mailing Address
MICHAELBASTANIDPM
23785 EL TORO RD # 450
LAKE FOREST, CA 92630-4762
Phone number:
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