Provider Demographics
NPI:1578875324
Name:BASTIAN, REBECCA JUNE (MD)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:JUNE
Last Name:BASTIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 PASTEUR DR
Mailing Address - Street 2:STANFORD DEPT OF GRADUATE MEDICAL ED. - ROOM HC453
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305
Mailing Address - Country:US
Mailing Address - Phone:650-723-5948
Mailing Address - Fax:650-723-3045
Practice Address - Street 1:300 PASTEUR DR
Practice Address - Street 2:STANFORD DEPT OF GRADUATE MEDICAL ED. ROOM HC453
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:650-723-5948
Practice Address - Fax:650-723-3045
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-09
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program