NPI 1174092506

Sam Basta

Practitioner Attendant Care Provider Los Angeles, CA

Practice location

Address: 3757 Kelton Ave APT 211, Los Angeles, CA 90034-7135
Phone: (310) 465-6019

Registered specialties

Attendant Care Provider Primary

Nursing Service Related Providers Taxonomy 3747A0650X

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Registry record

NPI: 1174092506
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Nov 2018
Record last updated: 14 Nov 2018

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.