Individual
MICHAEL BASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB(ASCP)CM, CLS
Contact information
Practice address
2250 ALCAZAR ST STE 109M, LOS ANGELES, CA 90089-1010
(323) 442-2196
Mailing address
2250 ALCAZAR ST STE 109M, LOS ANGELES, CA 90089-1010
(323) 442-2196
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
02013798
CA
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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