Individual provider · Type 1 NPI

Amanda Bastien, MD

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1619558269 Active

Practice location

8635 W 3rd St Ste 590W
Los Angeles, CA 90048-6163

Call (310) 423-1220 Map

Mailing address

8635 W Third St #590W
Los Angeles, CA 90048

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619558269

Amanda Bastien, MD's National Provider Identifier is 1619558269, issued on Apr 15, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 15, 2021.