Organization
JEREMY S. BASS, M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY S BASS MD (OWNER)
(805) 815-6777
Entity
Organization
Contact information
Practice address
28310 ROADSIDE DR STE 218, AGOURA HILLS, CA 91301-4942
(805) 815-6777
Mailing address
28310 ROADSIDE DR STE 218, AGOURA HILLS, CA 91301-4942
(805) 815-6777
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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