-- AZAR S BASTANFAR -- Certified Nurse Prac
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1265459184- Provider Type
- Individual Provider (NPI-1)
- Credentials
- Certified Nurse Prac
- Status
- Active
Contact & Location
- Address
- 9850 GENESEE AVE SUITE 600, LA JOLLA, CA, 920371207
- Phone
- (858) 453-0753
- Fax
- (760) 414-3713
Specialties & Taxonomies
Nurse Practitioner, Obstetrics & Gynecology
License: CA #538431
Nurse Practitioner
Primary License: CA #9526