License Directory

Ingmar Niels Bastian

Active

California license A208879

License

Licensed by
Medical Board of California
License number
A208879
Status
Active (Current)
First issued
April 21, 2026
Expires
June 30, 2028
License holder
Ingmar Niels Bastian
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

9300 Campus Point Dr
La Jolla, CA 92037-7433
San Diego County