JACOB BASILIUS

ORANGE, CA
NPI1043741911
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: UT  10955731-1205)
Enumeration Date2017-03-23
Last Update Date2022-11-01
Business Address
Dr. JACOB BASILIUS MD
101 THE CITY DR S
ORANGE, CA 92868-3201
Phone number: 714-880-7812
Mailing Address
Dr. JACOB BASILIUS MD
200 S MANCHESTER AVE STE 300
ORANGE, CA 92868-3219
Phone number: 714-456-2986
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