Organization
MAGED BASILIOS, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGED BASILIOS MD (PRESIDENT)
(323) 771-0080
Entity
Organization
Contact information
Practice address
4505 E SLAUSON AVE, SUITE E, MAYWOOD, CA 90270-4955
(323) 771-0080
(323) 771-0090
Mailing address
4505 E SLAUSON AVE, SUITE E, MAYWOOD, CA 90270-4955
(323) 771-0080
(323) 771-0090
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A061990
CA
Other
Enumeration date
05/13/2014
Last updated
05/15/2014
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