Individual
MR. BRIAN JACOB BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3002 ARMSTRONG ST, SAN DIEGO, CA 92111-5702
(858) 277-9550
Mailing address
3002 ARMSTRONG ST, SAN DIEGO, CA 92111-5702
(858) 277-9550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
78872
CA
Other
Enumeration date
10/13/2010
Last updated
08/15/2019
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