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1760688394
MYRA SUSAN BASTIDAS
LOS ANGELES, CA
NPI
1760688394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A99110)
Enumeration Date
2007-06-21
Last Update Date
2021-12-06
Business Address
Dr. MYRA SUSAN BASTIDAS M.D.
4700 W SUNSET BLVD
LOS ANGELES, CA 90027-6082
Phone number: 323-783-5611
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Mailing Address
Dr. MYRA SUSAN BASTIDAS M.D.
4434 LOS FELIZ BLVD APT 106
LOS ANGELES, CA 90027-2133
Phone number: 323-906-9704
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