Individual
DR. BASIL FELAHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11050 ATLANTIC AVE, LYNWOOD, CA 90262-3068
(310) 635-3800
(310) 635-0364
Mailing address
11050 ATLANTIC AVE, LYNWOOD, CA 90262-3068
(310) 635-3800
(310) 635-0364
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A36908
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A369080
—
CA
01
—
A36908
MEDICAL LICENSE
CA
Enumeration date
01/09/2007
Last updated
05/06/2020
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