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Azar S Bastanfar, CERTIFIEDNURSEPRAC
Nurse Practitioner in La Jolla, California
NPI 1265459184

Azar S Bastanfar is a Nurse Practitioner based in Los Angeles, CA. Azar S Bastanfar practices in La Jolla, CA and has the professional credentials of CERTIFIEDNURSEPRAC. The NPI Number for Azar S Bastanfar is 1265459184 and holds a License No. 538431 (California).

The current practice location address for Azar S Bastanfar is 9850 Genesee Ave, La Jolla, CA and can be reached out via phone at 858-453-0753 and via fax at 760-414-3713.

Location: 9850 Genesee Ave, La Jolla, CA, 90074-4433
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265459184
Provider Name
Azar S Bastanfar
Credential
CERTIFIEDNURSEPRAC
Provider Entity Type
Individual
Gender
Female
Address
9850 Genesee Ave, La Jolla, CA, 90074-4433
Phone Number
858-453-0753
Fax Number
760-414-3713
Provider Enumeration Date
07/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9850 Genesee Ave
City
La Jolla
State
California
Zip
92037-1207
Phone Number
858-453-0753
Fax Number
760-414-3713
person
Provider Business Mailing Address Details
Address
9850 Genesee Ave
City
La Jolla
State
California
Zip
92037-1207
Phone Number
858-453-0753
Fax Number
760-414-3713
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
9526 (California)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
363LX0001X
License No.
538431 (California)
Definition
Definition to come...
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