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NPI Verification

National Provider Identifier: 1790769016

Martin David Bastuba, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

6699 ALVARADO RD

2208

SAN DIEGO, CA 921205238

Phone: 619-286-3520

NPI Enumeration Date

November 30, 2005

NPI Number

1790769016

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry