Organization
BASSO-WILLIAMS 11 BLADE OF CALIFORNIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BASSO-WILLIAMS DO (DIRECTOR)
(209) 956-7732
Entity
Organization
Contact information
Practice address
207 W LEGION RD, BRAWLEY, CA 92227-7780
(760) 351-3333
Mailing address
PO BOX 840027, LOS ANGELES, CA 90084-0027
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316200967
—
CA
Enumeration date
08/05/2019
Last updated
03/01/2024
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