Bastanfar, Azar S

Bastanfar, Azar S is an individual health care provider with primary practice located at 9850 Genesee Ave Suite 600, La Jolla CA 92037-1207. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bastanfar, Azar S can be contacted via phone (858) 453-0753.

Contact Information

Primary practice address
9850 Genesee Ave Suite 600 La Jolla CA 92037-1207
Phone: (858) 453-0753
Fax: (760) 414-3713
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 538431 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 9526 California

Profile Details

NPI number 1265459184
LBN Legal business name Bastanfar, Azar S
Credentials CERTIFIED NURSE PRAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Aug 15th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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