Organization
KARL D. BASSLER, M.D, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARL DAVID BASSLER M.D. (PRESIDENT)
(949) 855-3376
Entity
Organization
Contact information
Practice address
23961 CALLE DE LA MAGDALENA, # 520, LAGUNA HILLS, CA 92653-3616
(949) 855-3376
(949) 609-1971
Mailing address
23961 CALLE DE LA MAGDALENA, # 520, LAGUNA HILLS, CA 92653-3616
(949) 855-3376
(949) 609-1971
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A64015
CA
207ND0900X
Dermatopathology Physician
A64015
CA
207NS0135X
Procedural Dermatology Physician
A64015
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A64015
STATE LICENSE #
CA
01
—
DD4828
RAILROAD MEDICARE GROUP #
CA
01
—
H17881
UPIN #
CA
01
—
P00230697
RAILROAD MEDICARE PIN #
CA
Enumeration date
03/19/2008
Last updated
03/07/2023
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