Dr. Myra Susan Bastidas
M.D. | Pediatrics | Female
Dr. Myra Susan Bastidas, M.D. is a Los Angeles, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Myra Susan Bastidas is
4700 W Sunset Blvd, Los Angeles, California - 90027-6082. She can be contacted on phone at
323-783-5611.
Dr. Myra Susan Bastidas is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Myra Susan Bastidas is
1760688394 which was assigned by NPPES on 21 Jun, 2007 and it was last updated on 06 Dec, 2021.
Dr. Myra Susan Bastidas license number is
A99110 for Pediatrics (208000000X) in California.
Dr. Myra Susan Bastidas is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Myra Susan Bastidas basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Myra Susan Bastidas |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Myra Susan Bastidas address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4700 W Sunset Blvd
Los Angeles, CA, 90027-6082
United States |
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| Phone Number : | 323-783-5611 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1760688394 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Jun, 2007 |
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| Last Updated On : | 06 Dec, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Myra Susan Bastidas are as mentioned. Primary taxonomy code for Dr. Myra Susan Bastidas, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | A99110 | CA |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Carequality | | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 13652 CANTARA ST,
PANORAMA CITY, CA, 91402-5423
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4434 Los Feliz Blvd Apt 106
Los Angeles, CA, 90027-2133
United States |
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| Phone Number : | 323-906-9704 |
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Business Location:
Patients can refer following map for directions to
Dr. Myra Susan Bastidas practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.