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1811379365
MICHAEL BASTANI
IRVINE, CA
NPI
1811379365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: CA 5477)
Enumeration Date
2015-06-22
Last Update Date
2021-10-12
Business Address
MICHAEL BASTANI DPM
18124 CULVER DR STE F
IRVINE, CA 92612-2729
Phone number: 949-552-9393
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Mailing Address
MICHAEL BASTANI DPM
18124 CULVER DR STE F
IRVINE, CA 92612-2729
Phone number: 949-552-9393
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