Individual
ADAM MATHEW BASIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27300 IRIS AVE, MORENO VALLEY, CA 92555-4802
(833) 574-2273
Mailing address
27300 IRIS AVE, MORENO VALLEY, CA 92555-4802
(833) 574-2273
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A202181
CA
2085R0202X
Diagnostic Radiology Physician
V1401
TX
Other
Enumeration date
03/19/2019
Last updated
07/16/2025
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