Individual
BASSAM BADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3865 JACKSON ST, RIVERSIDE, CA 92503-3919
(714) 676-3880
Mailing address
12223 HIGHLAND AVE STE 106-526, RANCHO CUCAMONGA, CA 91739-2574
(714) 676-3880
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301104969
MI
208M00000X
Hospitalist Physician
4301104969
MI
208M00000X
Hospitalist Physician
Primary
A170093
CA
Other
Enumeration date
04/04/2014
Last updated
02/10/2022
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