Individual
MICHAEL BASOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3301 E 12TH ST STE 259, OAKLAND, CA 94601-2940
(510) 269-9030
Mailing address
1052 VIA ROBLE, LAFAYETTE, CA 94549-2925
(925) 588-1706
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
06/11/2025
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