Individual
MANA BASKOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1301 20TH ST STE 270, SANTA MONICA, CA 90404-2053
(310) 828-8585
(310) 453-4844
Mailing address
1301 20TH ST STE 270, SANTA MONICA, CA 90404-2053
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
15816
CA
Other
Enumeration date
03/18/2016
Last updated
01/09/2024
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