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Contact Information

MADALASA BISTA, MD
4318 MISSION AVE
OCEANSIDE, CA92057
 Phone: 760-901-5074
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MADALASA BISTA · (Female)

NPI # 1174966444
Status Active
Credentials MD
Entity Individual
Enumeration date 04/16/2013
Last updated 08/19/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A145628
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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