Individual
MARGARITA BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 N STATE ST, IPT 5TH FLOOR, ROOM C5L 100, LOS ANGELES, CA 90033-1029
(323) 409-8597
(323) 441-9907
Mailing address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(323) 409-8597
(323) 441-9907
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A93115
CA
207RP1001X
Pulmonary Disease Physician
Primary
A93115
CA
Other
Enumeration date
06/12/2007
Last updated
09/05/2017
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