Individual
DR. DANIELLE L BASURCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
808 W 58TH ST, LOS ANGELES, CA 90037-3632
(323) 541-1660
(323) 541-1499
Mailing address
107 S CROFT AVE, 7, LOS ANGELES, CA 90048-3422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A122293
CA
Other
Enumeration date
10/22/2010
Last updated
03/28/2017
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