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Dr. Nicholas Bast, DO
Student in an Organized Health Care Education/Training Program in Moreno Valley, California
NPI 1861010316

Nicholas Bast is a Student in an Organized Health Care Education/Training Program based in Riverside, CA. Nicholas Bast practices in Moreno Valley, CA and has the professional credentials of DO. The NPI Number for Nicholas Bast is 1861010316 and holds a License No. (California).

The current practice location address for Nicholas Bast is 26520 Cactus Ave, Moreno Valley, CA and can be reached out via phone at 951-486-4698.

Location: 26520 Cactus Ave, Moreno Valley, CA, 92508-6140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861010316
Provider Name
Nicholas Bast
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
26520 Cactus Ave, Moreno Valley, CA, 92508-6140
Phone Number
951-486-4698
Fax Number
Provider Enumeration Date
07/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
26520 Cactus Ave
City
Moreno Valley
State
California
Zip
92555-3927
Phone Number
951-486-4698
Fax Number
person
Provider Business Mailing Address Details
Address
26520 Cactus Ave
City
Moreno Valley
State
California
Zip
92555-3927
Phone Number
951-486-4698
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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