Individual
DR. KARL DAVID BASSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23961 MAGDALENA, #520, LAGUNA HILLS, CA 92653
(949) 855-3376
(949) 609-1971
Mailing address
23961 MAGDALENA, #520, LAGUNA HILLS, CA 92653
(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 NUMBER
CA
01
—
DD4828
RAILROAD MEDICARE GROUP #
CA
01
—
H17881
UPIN #
CA
01
—
P00230697
RAILROAD MEDICARE PIN #
CA
Enumeration date
08/03/2005
Last updated
03/07/2023
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