NPI 1386966976
Randa Bascharon, DO, INC
Practice location
- Address
- 7281 W Sahara Ave STE 110, Las Vegas, NV 89117-2816
- Phone
- (702) 947-7790
- Mailing address
- 2980 N Beverly Glen Cir STE 301, Los Angeles, CA 90077-1726
Authorised official
- Name
- Randa Bascharon
- Title
- Medical Director
- Phone
- (702) 947-7790
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1386966976
- Entity type
- Organization
- NPI issued
- 23 Feb 2010
- Record last updated
- 1 Mar 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.