Organization
RANDA BASCHARON, DO, INC
Active
Parent organization
RANDA BASCHARON, DO, INC
Other names
Orthopedic & Sports Medicine Institute of Las Vegas
Organization subpart
Yes
Provider details
NPI number
Legal business name
RANDA BASCHARON, DO, INC
Authorized official
RANDA BASCHARON D.O. (MEDICAL DIRECTOR)
(702) 947-7790
Entity
Organization
Contact information
Practice address
7281 W SAHARA AVE, STE 110, LAS VEGAS, NV 89117-2816
(702) 947-7790
Mailing address
2980 N BEVERLY GLEN CIR, STE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
1103
NV
Other
Enumeration date
02/23/2010
Last updated
03/01/2011
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