Bastidas, Jefferson Augusto
Bastidas, Jefferson Augusto is an sole proprietor health care provider with primary practice located at 14981 National Ave Ste 4 , Los Gatos CA 95032-2600. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Bastidas, Jefferson Augusto can be contacted via phone (408) 358-4747.Contact Information
Primary practice address
14981 National Ave Ste 4
Los Gatos CA 95032-2600
Phone: (408) 358-4747
Fax: (408) 358-4742
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G77498 | California |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | G77498 | California |
Profile Details
| NPI number | 1609808195 |
|---|---|
| LBN Legal business name | Bastidas, Jefferson Augusto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Nov 18th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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