Bastian, John Frederic

Bastian, John Frederic is an individual health care provider with primary practice located at 8110 Birmingham Way , San Diego CA 92123-2758. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Bastian, John Frederic can be contacted via phone (858) 966-5961.

Contact Information

Primary practice address
8110 Birmingham Way San Diego CA 92123-2758
Phone: (858) 966-5961
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X G39061 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G39061 California

Profile Details

NPI number 1316018179
LBN Legal business name Bastian, John Frederic
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Aug 24th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316018179 NPPES
California MEDICAID 00G390610

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