National Provider Identifier Database

BASTION MEDICAL PRACTICE OF CALIFORNIA PC
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

BASTION MEDICAL PRACTICE OF CALIFORNIA, P.C.
400 FARMINGTON AVE
FARMINGTON, CT06032-1913
Phone: 650-610-1617
Fax:
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for BASTION MEDICAL PRACTICE OF CALIFORNIA, P.C.

NPI Number 1295452100
Legal business name
LBN
BASTION MEDICAL PRACTICE OF CALIFORNIA, P.C.
Authorized official JUSTIN HOUMAN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/21/2022
Last updated 10/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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