JACK ELLIOTT BASSE

LOS ANGELES, CA
NPI1083300669
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-17
Last Update Date2023-04-23
Business Address
JACK ELLIOTT BASSE MD
757 WESTWOOD PLZ
LOS ANGELES, CA 90095-8358
Phone number: 310-794-0785
Mailing Address
JACK ELLIOTT BASSE MD
757 WESTWOOD PLZ
LOS ANGELES, CA 90095-8358
Phone number: 310-794-0785
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