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Michaelbastanidpm, Inc
Podiatric Clinic/Center in Irvine, California
NPI 1629747316

Michaelbastanidpm, Inc is a Podiatric Clinic/Center based in Irvine, CA and is specialized in Podiatric. Michaelbastanidpm, Inc practices in Irvine, CA. The NPI Number for Michaelbastanidpm, Inc is 1629747316 and holds a License No. (California).

The current practice location address for Michaelbastanidpm, Inc is 18124 Culver Dr Ste C, Irvine, CA and can be reached out via phone at 917-676-1045.

Location: 18124 Culver Dr Ste C, Irvine, CA, 92603-5724
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629747316
Provider Name
Michaelbastanidpm, Inc
Credential
Provider Entity Type
Organization
Address
18124 Culver Dr Ste C, Irvine, CA, 92603-5724
Phone Number
917-676-1045
Fax Number
Provider Enumeration Date
09/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18124 Culver Dr Ste C
City
Irvine
State
California
Zip
92612-2729
Phone Number
917-676-1045
Fax Number
person
Provider Business Mailing Address Details
Address
18124 Culver Dr Ste C
City
Irvine
State
California
Zip
92612-2729
Phone Number
917-676-1045
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
261QP1100X
License No.
()
Definition
Definition to come...
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