MICHAELBASTANIDPM, INC

IRVINE, CA
NPI1629747316
Entity TypeOrganization
Authorized ContactMICHAEL BASTANI
CEO
917-675-1045
Organization Subpart ?No
Primary Taxonomy261QP1100X Clinic/Center Podiatric
Enumeration Date2021-09-07
Last Update Date2021-09-07
Business Address
MICHAELBASTANIDPM, INC
18124 CULVER DR STE C
IRVINE, CA 92612-2729
Phone number: 917-676-1045
Mailing Address
MICHAELBASTANIDPM, INC
215 STONECLIFFE AISLE
IRVINE, CA 92603-5724
Phone number:
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