Michaelbastanidpm
Michaelbastanidpm is a Foot & Ankle Surgery Podiatrist in Irvine, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
22 Odyssey Ste 115Irvine, CA 92618-3188
Phone: (424) 256-8956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foot & Ankle Surgery Podiatrist (primary) | Taxonomy 213ES0103X |
|---|
Record details
| NPI number | 1407496318 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Bastani — Owner · (917) 675-1045 |
| NPI enumerated | January 8, 2020 |
| Last updated in NPPES | January 8, 2020 |
| Certification date | January 8, 2020 |
| Mailing address | 23785 El Toro Rd # 450, Lake Forest, CA 92630-4762 |
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