Provider Demographics
NPI:1265689335
Name:FRANK NASTANSKI MD A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:FRANK NASTANSKI MD A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE BILLING REPRESENTATIVE
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAZUETTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-547-1915
Mailing Address - Street 1:999 N TUSTIN AVE
Mailing Address - Street 2:SUITE 116
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3528
Mailing Address - Country:US
Mailing Address - Phone:714-547-1915
Mailing Address - Fax:714-547-6552
Practice Address - Street 1:999 N TUSTIN AVE
Practice Address - Street 2:SUITE 116
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3528
Practice Address - Country:US
Practice Address - Phone:714-547-1915
Practice Address - Fax:714-547-6552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-20
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA68851174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty