Individual
DR. MAXIMINO PLATON BASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9080 COLIMA RD, DEPARTMENT OF RADIOLOGY, WHITTIER, CA 90605-1600
(562) 907-1660
(562) 907-1549
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-3911
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
C51404
CA
2085N0904X
Nuclear Radiology Physician
C51404
CA
2085R0202X
Diagnostic Radiology Physician
Primary
C51404
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C514040
—
CA
Enumeration date
12/29/2006
Last updated
04/13/2009
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