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Contact Information

BASTION MEDICAL PRACTICE OF CALIFORNIA, P.C.
400 FARMINGTON AVE
FARMINGTON, CT06032-1913
 Phone: 650-610-1617
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

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

NPI Number 1295452100
LBN Legal business name BASTION MEDICAL PRACTICE OF CALIFORNIA, P.C.
Authorized official JUSTIN HOUMAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/21/2022
Last updated 10/21/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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