MICHAEL FRED BASIN

LOS ANGELES, CA
NPI1447888987
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208800000X Urology
(Licence: CA  A201608)
Enumeration Date2020-03-30
Last Update Date2025-11-11
Business Address
MICHAEL FRED BASIN MD
1510 SAN PABLO ST
LOS ANGELES, CA 90033-5320
Phone number: 323-276-3707
Mailing Address
MICHAEL FRED BASIN MD
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 626-457-6601