JACK ELLIOTT BASSE

LOS ANGELES, CA
NPI1083300669
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CA  1083300669)
Enumeration Date2023-04-17
Last Update Date2026-06-30
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