Edgar Alain Basto
Optometrist in Anaheim, CA. Individual provider (NPI-1).
NPI number1295879435
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1295879435
- Entity type
- Individual (NPI-1)
- Name
- Mr. Edgar Alain Basto
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 19, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | D6662 | CA | Yes |
Practice location
1741 W Romneya Dr Ste DAnaheim, CA 92801-1805
Phone 714-776-6692
Mailing address
256 San Joaquin StLaguna Beach, CA 92651-1351
Phone 714-776-6692
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All 147 Optometrist providers in Anaheim · All 11,123 providers in Anaheim
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