Individual
DR. MARC BASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10234 ROSECRANS AVE, BELLFLOWER, CA 90706-2602
(562) 920-1692
(562) 920-4643
Mailing address
75 REMITTANCE DR DEPT 6008, CHICAGO, IL 60675-6008
(562) 282-1419
(562) 920-4642
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
36097
CA
207K00000X
Allergy & Immunology Physician
G36097
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G360970
BLUE SHIELD
CA
05
—
00G360970
—
CA
05
—
00G36970
—
CA
01
—
030005091
RAILROAD MEDICARE
CA
Enumeration date
08/02/2006
Last updated
07/18/2016
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