Individual
ALYSSA BASDAVANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(310) 222-2345
Mailing address
7165 HAWAII KAI DR, HONOLULU, HI 96825-3115
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/27/2024
Last updated
04/27/2024
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