Individual
ISAAC BASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2121 SANTA MONICA BLVD, EMERGENCY DEPT, SANTA MONICA, CA 90404
(310) 582-7089
Mailing address
2121 SANTA MONICA BLVD, EMERGENCY DEPT, SANTA MONICA, CA 90404
(310) 582-7089
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A62981
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A629810
—
CA
Enumeration date
04/26/2006
Last updated
12/08/2010
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