Individual
DR. JACOB BASILIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 880-7812
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-3242
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
10955731-1205
UT
Other
Enumeration date
03/23/2017
Last updated
04/17/2026
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