Organization
ANTHONY G. BASSANELLI, MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY GERARD BASSANELLI MD (PRESIDENT/OWNER)
(760) 341-6026
Entity
Organization
Contact information
Practice address
44530 SAN PABLO AVE STE 202, PALM DESERT, CA 92260-3598
(760) 341-6026
(760) 341-6027
Mailing address
44530 SAN PABLO AVE STE 202, PALM DESERT, CA 92260-3598
(760) 341-6026
(760) 341-6027
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
G-55820
CA
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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