Individual
MICHAEL FRED BASIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1510 SAN PABLO ST, LOS ANGELES, CA 90033-5320
(323) 276-3707
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(626) 457-6601
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A201608
CA
Other
Enumeration date
03/30/2020
Last updated
11/11/2025
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