institution
Michaelbastanidpm
Foot & Ankle Surgery Podiatrist in Irvine, California
NPI 1407496318

Michaelbastanidpm is a Foot & Ankle Surgery Podiatrist based in Lake Forest, CA and is specialized in Foot & Ankle Surgery. Michaelbastanidpm practices in Irvine, CA. The NPI Number for Michaelbastanidpm is 1407496318 and holds a License No. (California).

The current practice location address for Michaelbastanidpm is 22 Odyssey Ste 115, Irvine, CA and can be reached out via phone at 424-256-8956. You can also correspond with Michaelbastanidpm through the mailing address at 23785 EL TORO RD # 450, LAKE FOREST, CA - 92630-4762 (mailing address contact number: ).

Location: 22 Odyssey Ste 115, Irvine, CA, 92630-4762
institution
Provider Profile Details
NPI Number
1407496318
Provider Name
Michaelbastanidpm
Credential
Provider Entity Type
Organization
Address
22 Odyssey Ste 115, Irvine, CA, 92630-4762
Phone Number
424-256-8956
Fax Number
Provider Enumeration Date
01/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
22 Odyssey Ste 115
City
State
Zip
92618-3188
Phone Number
424-256-8956
Fax Number
person
Provider Business Mailing Address Details
Address
22 Odyssey Ste 115
City
State
Zip
92618-3188
Phone Number
424-256-8956
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
()
Definition
Definition to come...
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