Individual
DR. CORINNE VIVIAN BASCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4641 VALLEY EAST BLVD., SUITE 2, ARCATA, CA 95521
(707) 840-4701
(855) 420-6321
Mailing address
4641 VALLEY EAST BLVD., SUITE 2, ARCATA, CA 95521
(707) 840-4701
(855) 420-6321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A51185
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A511850
—
CA
Enumeration date
12/02/2006
Last updated
12/04/2025
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