Individual
LEOPOLDO MARIO BASILICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661-3037
(916) 733-3777
Mailing address
PO BOX 276950, SACRAMENTO, CA 95827-6950
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A152830
CA
208M00000X
Hospitalist Physician
Primary
A152830
CA
Other
Enumeration date
06/11/2010
Last updated
03/04/2025
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