Individual provider · Type 1 NPI
Azar S. Bastanfar, CERTIFIED NURSE PRAC
Nurse Practitioner · La Jolla, CA
Practice location
9850 Genesee Ave, Suite 600
La Jolla, CA 92037-1207
Fax (760) 414-3713
Mailing address
File #54433
Los Angeles, CA 90074-4433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 538431 (CA) |
| Nurse Practitioner Primary | 363L00000X | 9526 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1265459184
Azar S. Bastanfar, CERTIFIED NURSE PRAC's National Provider Identifier is 1265459184, issued on Jul 16, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in La Jolla, CA. The record was last updated on Aug 15, 2011.