Individual
DR. FERNANDO BASCO CANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8337 TELEGRAPH RD, SUITE 210, PICO RIVERA, CA 90660-4909
(562) 806-1321
(562) 806-0801
Mailing address
8337 TELEGRAPH RD, SUITE 210, PICO RIVERA, CA 90660-4909
(562) 806-1321
(562) 806-0801
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
A30070
CA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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